Individual
DR. JANICE LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
513 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2205
(415) 476-3242
(415) 476-0665
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
41942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04194200
—
CA
Enumeration date
05/05/2006
Last updated
07/09/2007
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