Individual
DR. IVY ANN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
960 E. GREEN STREET, SUITE #330, PASADENA, CA 91106
(626) 449-4207
(626) 449-0925
Mailing address
960 E. GREEN STREET, SUITE #330, PASADENA, CA 91106
(626) 449-4207
(626) 449-0925
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A111232
CA
207N00000X
Dermatology Physician
MD036840
DC
Other
Enumeration date
04/02/2008
Last updated
05/16/2012
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