Individual
DR. ROBERT AN-KUO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3883 AIRWAY DR STE 203, SANTA ROSA, CA 95403
(707) 521-7760
(707) 521-7759
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 521-7760
(707) 521-7759
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
874491
CA
207ND0900X
Dermatopathology Physician
Primary
874491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A109496
STATE MEDICAL LICENSE
CA
Enumeration date
12/11/2006
Last updated
09/27/2019
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