Individual
BRIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
C50283
CA
222Z00000X
Orthotist
Primary
C50283
CA
Other
Enumeration date
02/03/2016
Last updated
07/26/2016
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