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Individual

DR. LEE L. Q. PU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
2221 STOCKTON BLVD., FIRST FLOOR, SACRAMENTO, CA 95817
(916) 734-2680
Mailing address
2221 STOCKTON BLVD., FIRST FLOOR, SACRAMENTO, CA 95817
(916) 734-2130
(916) 734-7104

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A55357
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64016108
KY
Enumeration date
04/20/2006
Last updated
02/29/2012
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