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Organization
LARISSE LEE MD PC
Active
Organization
LARISSE LEE MD PC
Active
Other names
L.A. Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISSE KATHERINE LEE M.D. (MD & PRESIDENT)
(818) 325-0400
Entity
Organization
Contact information
Practice address
4955 VAN NUYS BLVD, SUITE 704, SHERMAN OAKS, CA 91403
(818) 325-0400
(818) 325-0404
Mailing address
4955 VAN NUYS BLVD, SUITE 704, SHERMAN OAKS, CA 91403
(818) 325-0400
(818) 325-0404
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/04/2011
Last updated
12/03/2019
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