Individual
SUEGENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8170 LAGUNA BLVD STE 114, ELK GROVE, CA 95758-7902
(916) 887-7940
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A172203
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2015
Last updated
07/26/2021
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