Individual
MICHAEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-1500
Mailing address
901 NEVIN AVE, BUILDING 2, 2ND FLOOR, RICHMOND, CA 94801-3143
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
19085
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
19085
CA
Other
Enumeration date
03/20/2018
Last updated
10/18/2023
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