Individual
ANDREW LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11427 FAIR OAKS BLVD, FAIR OAKS, CA 95628-5142
(916) 967-0709
Mailing address
3734 COPPERLEAF ST, ROSEVILLE, CA 95661-2512
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
07/24/2023
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