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Organization
LEE MEDICAL GROUP, INC.
Active
Organization
LEE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MACK (ADMINISTRATOR)
(626) 826-2546
Entity
Organization
Contact information
Practice address
14642 NEWPORT AVE STE 105, TUSTIN, CA 92780-6058
(949) 889-2212
(702) 867-1669
Mailing address
1 PETERS CANYON RD STE 160, IRVINE, CA 92606-1748
(626) 826-2546
(702) 867-1669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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