Individual
MR. MARK CHUN-LIANG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11147 WASHINGTON BLVD, WHITTIER, CA 90606-3007
(562) 695-6988
(562) 692-2093
Mailing address
11147 WASHINGTON BLVD, WHITTIER, CA 90606-3007
(562) 695-6988
(562) 692-2093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A68664
CA
207RN0300X
Nephrology Physician
Primary
A68664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A686640
—
CA
Enumeration date
03/30/2006
Last updated
07/20/2012
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