Individual
HENRY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 938-0935
Mailing address
PO BOX 544, SAN LUIS OBISPO, CA 93406-0544
(805) 546-2876
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G46949
CA
Other
Enumeration date
07/18/2006
Last updated
03/18/2009
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