Individual
DIANA KATHERINE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1496 PROFESSIONAL DR STE 601, PETALUMA, CA 94954-6698
(707) 778-1131
(707) 778-3818
Mailing address
1496 PROFESSIONAL DR STE 601, PETALUMA, CA 94954-6698
(707) 778-1131
(707) 778-3818
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A176570
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A176570
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/27/2017
Last updated
03/12/2026
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