Organization
ELIZABETH SLASS LEE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH S LEE M.D. (PRESIDENT)
(510) 704-2170
Entity
Organization
Contact information
Practice address
2999 REGENT ST, SUITE 401, BERKELEY, CA 94705-2190
(510) 704-2170
(510) 704-2173
Mailing address
2999 REGENT ST, SUITE 401, BERKELEY, CA 94705-2190
(510) 704-2170
(510) 704-2173
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G81425
CA
Other
Enumeration date
12/21/2010
Last updated
03/15/2011
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