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Individual
JASON T. LEE
Active
Individual
JASON 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
57.012883
OH
207Q00000X
Family Medicine Physician
Primary
A114377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A114377
MEDICAL LICENSE
CA
Enumeration date
08/07/2007
Last updated
03/07/2023
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