Individual
DR. LILY F LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E. CALIFORNIA BLVD., PASADENA, CA 91105
(626) 817-0818
(626) 817-0844
Mailing address
100 E. CALIFORNIA BLVD., PASADENA, CA 91105
(626) 817-0818
(626) 817-0844
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A87024
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A87024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699038620
—
CA
01
—
GL260X
MCR ( N)
CA
01
—
GL260Z
MCR (S)
CA
Enumeration date
08/17/2009
Last updated
11/08/2022
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