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Organization

RICHARD H LEE JR MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD H LEE JR. M.D. (MEDICAL DOCTOR)
(510) 836-2122
Entity
Organization

Contact information

Practice address
491 30TH STREET, #201, OAKLAND, CA 94609-3235
(510) 836-2122
Mailing address
491 30TH STREET, #201, OAKLAND, CA 94609-3235
(510) 836-2122

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A24722
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023129095
CA
Enumeration date
11/03/2010
Last updated
11/03/2010
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