Individual
DR. PATRICK KEVIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13420 NEWPORT AVE, SUITE G, TUSTIN, CA 92780-3745
(714) 731-0061
(714) 731-0164
Mailing address
13420 NEWPORT AVE, SUITE G, TUSTIN, CA 92780-3745
(714) 731-0061
(714) 731-0164
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G74804
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G74804
CA
Other
Enumeration date
08/29/2005
Last updated
02/22/2012
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