Individual
JANE CATHERINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
300 PASTEUR DR, SUMC - PEDS PHYSICIAN BILLING MC: 5530, STANFORD, CA 94305-2200
(650) 498-7391
(650) 725-7888
Mailing address
300 PASTEUR DR, SUMC - PEDS PHYSICIAN BILLING MC: 5530, STANFORD, CA 94305-2200
(650) 498-7391
(650) 725-7888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A60526
CA
2080P0205X
Pediatric Endocrinology Physician
A60526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A605260
MEDI-CAL
CA
Enumeration date
12/13/2006
Last updated
02/11/2008
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