Individual
DR. MYRON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 COLBY ST, SUITE 104, BERKELEY, CA 94705-2058
(510) 843-4613
(510) 843-4652
Mailing address
3000 COLBY ST, SUITE 104, BERKELEY, CA 94705-2058
(510) 843-4613
(510) 843-4652
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00A222740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A222740
—
CA
Enumeration date
10/05/2006
Last updated
05/10/2011
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