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Individual

PROF. PRISCILLA ANNE LEE

Active
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Individual

PROF. PRISCILLA ANNE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 3592
CA
363LF0000X
Family Nurse Practitioner
3592
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871571612
—
CA
01
—
WNP3592C
MEMBER ID
CA
Enumeration date
01/03/2006
Last updated
08/01/2013
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