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Individual

KYLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSOP

Contact information

Practice address
1127 WILSHIRE BLVD STE 310, LOS ANGELES, CA 90017-3913
(213) 250-7850
Mailing address
877 FRANCISCO ST APT 2102, LOS ANGELES, CA 90017-2889
(714) 864-0465

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
224P00000X
Prosthetist

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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