Individual
BENJAMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PRISON RD, REPRESA, CA 95671-3001
(916) 985-2561
Mailing address
PO BOX 2067, GRANITE BAY, CA 95746-2067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A38977
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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