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Individual

MICHELLE JUNE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-2727
Mailing address
61 BORGHESE, IRVINE, CA 92618-0113
(206) 313-0624

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
10002279A
IN
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
08/24/2017
Last updated
11/30/2021
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