Individual
DR. IRWIN H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 PROFESSIONAL CENTER DR, ROHNERT PARK, CA 94928-2152
(707) 584-2200
(707) 584-7582
Mailing address
PO BOX 756, DANVILLE, CA 94526-0756
(209) 543-0684
(209) 343-3809
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
4301081665
MI
2085R0001X
Radiation Oncology Physician
Primary
A103038
CA
390200000X
Student in an Organized Health Care Education/Training Program
4301081665
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861510760
—
CA
Enumeration date
03/27/2007
Last updated
07/19/2023
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