Individual
MICHELLE H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(707) 566-5669
Mailing address
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(408) 207-8317
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A164356
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
04/02/2018
Last updated
07/25/2023
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