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Individual
SAMANTHA KIM LEE
Active
Individual
SAMANTHA KIM LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NP14025
CA
363L00000X
Nurse Practitioner
NP14025
CA
363LF0000X
Family Nurse Practitioner
Primary
14025
CA
363LF0000X
Family Nurse Practitioner
Primary
NP14025
CA
Other
Enumeration date
01/31/2023
Last updated
02/28/2026
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