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Individual

DR. LEE LE WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9500 GILMAN DR, LA JOLLA, CA 92093-1005
(858) 534-3880
Mailing address
1611 NW 12TH AVE, WEST WING 279, MIAMI, FL 33136-1005
(786) 602-8515

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10297900
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
A146921
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/14/2010
Last updated
05/03/2022
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