Individual
LYDIA K LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, SUITE 430, 220, LOS ANGELES, CA 90095
(310) 794-7274
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
210378
MA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
C52897
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C528970
—
CA
Enumeration date
04/28/2006
Last updated
02/12/2015
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