Individual
DR. MARK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4096 PIEDMONT AVE, STE 414, OAKLAND, CA 94611-5221
(510) 874-1415
Mailing address
PO BOX 1330, SUISUN CITY, CA 94585-4330
(510) 874-1415
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A72497
CA
Other
Enumeration date
10/25/2006
Last updated
09/22/2015
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