Individual
JENNIFER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
365 HAWTHORNE AVE STE 101, OAKLAND, CA 94609-3115
(510) 465-5523
(510) 832-6061
Mailing address
365 HAWTHORNE AVE STE 101, OAKLAND, CA 94609-3115
(510) 465-5523
(510) 832-6061
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A153111
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2016
Last updated
09/23/2022
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