Individual
DR. NICOLE NAKYUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 S SAN MATEO DR, SAN MATEO, CA 94401-3805
(650) 696-4140
(650) 696-4637
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-9125
(415) 883-0877
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C160807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100170487
—
CA
05
—
1021958
—
VT
05
—
3077513
—
NH
Enumeration date
04/14/2009
Last updated
03/28/2025
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