Individual
DR. JOHN H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2040 E MARIPOSA AVE, EL SEGUNDO, CA 90245
(213) 266-5600
Mailing address
2040 E MARIPOSA AVE, EL SEGUNDO, CA 90245-5027
(213) 266-5600
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
31332
IA
207Y00000X
Otolaryngology Physician
7195
SD
207Y00000X
Otolaryngology Physician
Primary
PT 13015
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18279
—
ND
01
—
44545
WELLMARK BCBS
IA
05
—
6140715
—
IA
Enumeration date
08/24/2005
Last updated
07/17/2018
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