Individual
FRED DOUGLASS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6055 E WASHINGTON BLVD, SUITE 900, COMMERCE, CA 90040-2418
(323) 346-0960
(323) 346-0966
Mailing address
661 N HARBOR BLVD APT 137, SAN PEDRO, CA 90731-1746
(310) 403-8224
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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