Individual
DR. DIANE SONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 MUIR RD, MARTINEZ, CA 94553-4614
(925) 372-1181
Mailing address
2719 DAPPLEGRAY LN, WALNUT CREEK, CA 94596-6630
(206) 612-9087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00061503
WA
1835P2201X
Ambulatory Care Pharmacist
Primary
55913
CA
Other
Enumeration date
04/06/2007
Last updated
12/14/2021
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