Individual
CALVIN M LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2336 SYLVAN AVE, STE C, MODESTO, CA 95355-9294
(209) 551-1888
(209) 551-5662
Mailing address
PO BOX 578958, MODESTO, CA 95357-8958
(209) 551-1888
(209) 551-5662
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A82159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A821590
—
CA
Enumeration date
10/04/2005
Last updated
03/07/2023
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