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Individual

MRS. LEE K REA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
5137 GOLDEN FOOTHILL PKWY STE 120, EL DORADO HILLS, CA 95762-9671
(916) 933-8010
(530) 748-0322
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-2618
(530) 626-2839

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
15172
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP0151720
BLUE SHIELD
CA
01
P00300968
RAILROAD MEDICARE
CA
05
RN638985
CA
Enumeration date
08/29/2006
Last updated
03/04/2025
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