Individual
JENNIFER Y. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
795 WILLOW RD, BULIDING 334, C228, MENLO PARK, CA 94025-2539
(650) 690-6849
(650) 614-9880
Mailing address
795 WILLOW RD, BULIDING 334, C228, MENLO PARK, CA 94025-2539
(650) 690-6849
(650) 614-9880
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
141262
CA
2085R0202X
Diagnostic Radiology Physician
Primary
141262
CA
2085U0001X
Diagnostic Ultrasound Physician
141262
CA
390200000X
Student in an Organized Health Care Education/Training Program
MT199810
PA
Other
Enumeration date
06/25/2011
Last updated
04/28/2017
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