Organization
MYRON LEE, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON LEE M.D. (PRESIDENT)
(510) 843-4613
Entity
Organization
Contact information
Practice address
3000 COLBY ST, SUITE 104, BERKELEY, CA 94705-2083
(510) 843-4613
(510) 843-4652
Mailing address
3000 COLBY ST, SUITE 104, BERKELEY, CA 94705-2083
(510) 843-4613
(510) 843-4652
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A22274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A222740
—
CA
Enumeration date
08/11/2009
Last updated
05/10/2011
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