Individual
CONAN H LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1784 GRAIN MILL RD, SAN MARCOS, CA 92078-1090
(858) 361-5599
Mailing address
1784 GRAIN MILL RD, SAN MARCOS, CA 92078-1090
(760) 891-0601
(760) 798-4545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23843
CA
2251X0800X
Orthopedic Physical Therapist
PT23843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT23843B
PPIN
—
Enumeration date
07/17/2006
Last updated
01/15/2012
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