Individual
GARY STEWART LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42808 CHRISTY ST STE 216, FREMONT, CA 94538-3119
(408) 900-8838
(408) 962-0235
Mailing address
PO BOX 6792, SAN JOSE, CA 95150-6792
(408) 657-3623
(888) 787-8035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G61379
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G61379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G613790
—
CA
Enumeration date
04/25/2006
Last updated
10/17/2017
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