Organization
JUSTIN THIEN LEE, MD INC
Active
Other names
Justin Thien Lee, MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN THIEN LEE MD (PRESIDENT)
(573) 356-6998
Entity
Organization
Contact information
Practice address
500 OLD RIVER RD STE 200, BAKERSFIELD, CA 93311-9505
(661) 663-6429
(661) 663-6041
Mailing address
14182 S CANYON VINE CV, DRAPER, UT 84020-5636
(573) 356-6998
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A95245
CA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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