Individual
DA MI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4695 MACARTHUR CT # 1112A, NEWPORT BEACH, CA 92660-1882
(949) 520-1490
Mailing address
4695 MACARTHUR CT # 1112A, NEWPORT BEACH, CA 92660-1882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021945
CA
Other
Enumeration date
10/19/2022
Last updated
10/30/2024
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