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Individual
DR. TED T LEE
Active
Individual
DR. TED T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A95764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AQ249Y
INDIVIDUAL PTAN
CA
01
—
W14158
GROUP PTAN
CA
01
—
ZZZ20041Z
GROUP PTAN
CA
Enumeration date
11/06/2006
Last updated
12/21/2021
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