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Individual

BRIAN M LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3625 MARTIN LUTHER KING JR BLVD, SUITE #5, LYNWOOD, CA 90262-3509
(310) 763-7504
(310) 763-7573
Mailing address
3625 MARTIN LUTHER KING JR BLVD, SUITE #5, LYNWOOD, CA 90262-3509
(310) 763-7504
(310) 763-7573

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A86438
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A864380
CA
Enumeration date
10/05/2006
Last updated
06/21/2022
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