Individual
AUSTIN DOOHO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
9700 W TARON DR, ELK GROVE, CA 95757-8145
(714) 900-1109
Mailing address
2414 P ST APT 7, SACRAMENTO, CA 95816-6253
(714) 900-1109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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