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Organization
LESLIE LEE, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
LESLIE LEE, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE LEE M.D. (OWNER)
(626) 300-0008
Entity
Organization
Contact information
Practice address
150 S RAYMOND AVE, ALHAMBRA, CA 91801-3166
(626) 300-0008
Mailing address
150 S RAYMOND AVE, ALHAMBRA, CA 91801-3166
(626) 300-0008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
A062246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W16871A
MEDICARE PTAN
—
Enumeration date
01/24/2007
Last updated
08/25/2023
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