Individual
LORD A LEE-BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,FACE
Contact information
Practice address
4121 WESTERLY PL STE 204, NEWPORT BEACH, CA 92660-2338
(949) 903-6021
Mailing address
4121 WESTERLY PL STE 204, NEWPORT BEACH, CA 92660-2338
(949) 903-6021
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G20669
CA
2084N0400X
Neurology Physician
G20669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G20669
LICENCE
CA
Enumeration date
09/21/2006
Last updated
09/11/2025
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