Individual
JESSICA ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD # MS 96, LOS ANGELES, CA 90027
(323) 361-2154
Mailing address
4650 W SUNSET BLVD # MS 96, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35.136242
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A165047
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
MT202381
PA
Other
Enumeration date
07/17/2012
Last updated
10/03/2019
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