Individual
HEEJUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 STONY POINT RD STE 17, SANTA ROSA, CA 95407-6848
(707) 303-3600
Mailing address
711 STONY POINT RD STE 17, SANTA ROSA, CA 95407-6848
(707) 578-2005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95251430
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95022405
CA
Other
Enumeration date
07/20/2022
Last updated
08/31/2022
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