Individual
DR. LEE J PIATEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 PALM ST STE A, SAN LUIS OBISPO, CA 93401-2998
(805) 542-9678
Mailing address
3405 STUDIO DR, CAYUCOS, CA 93430-1937
(805) 995-1873
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
G28265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G282650
—
CA
01
—
CH658Z
PTAN
CA
Enumeration date
08/29/2006
Last updated
05/05/2011
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