Individual
STACEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4405 VANDEVER AVE, SAN DIEGO, CA 92120-3315
(833) 574-2273
Mailing address
4405 VANDEVER AVE, SAN DIEGO, CA 92120-3315
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A194715
CA
207WX0120X
Cornea and External Diseases Specialist Physician
A194715
CA
Other
Enumeration date
03/23/2020
Last updated
09/30/2025
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