Individual
JOHN ALEXIS TY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2815 STOCKTON BOULEVARD, SACRAMENTO, CA 95817-2201
(407) 712-3203
Mailing address
2815 STOCKTON BOULEVARD, SACRAMENTO, CA 95817-2201
(407) 712-3203
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95008205
CA
Other
Enumeration date
07/20/2016
Last updated
08/11/2022
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