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Individual

HEATHER LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(209) 492-7150
(559) 492-7119
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(209) 384-6493

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A149886
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2014
Last updated
06/16/2022
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