Individual
CAROLINE JEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CAYUGA AVE, BALBOA TEEN HEALTH CENTER, SAN FRANCISCO, CA 94112
(415) 469-4512
(415) 469-4096
Mailing address
1000 CAYUGA AVE, BALBOA TEEN HEALTH CENTER, SAN FRANCISCO, CA 94112
(415) 469-4512
(415) 469-4096
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A86899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A868990
PPIN
—
Enumeration date
10/03/2006
Last updated
07/08/2007
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