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Individual

GRANT LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 N STATE ST, LAC/USC CLINIC TOWER- OPHTHALMOLOGY, LOS ANGELES, CA 90033-5000
(323) 409-5220
Mailing address
1100 N STATE ST, LAC/USC CLINIC TOWER- OPHTHALMOLOGY, LOS ANGELES, CA 90033-5000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NOT RECEIVED YET
CA

Other

Enumeration date
03/08/2010
Last updated
03/08/2010
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