Individual
MARC LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1624 W OLIVE AVE, SUITE F, BURBANK, CA 91506-2459
(818) 843-2835
(818) 843-3310
Mailing address
PO BOX 1628, BURBANK, CA 91507
(818) 843-2835
(818) 843-3310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A94566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A945660
MEDICAL
CA
Enumeration date
06/13/2006
Last updated
01/06/2022
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