Individual
MELISSA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1819
(909) 583-1444
Mailing address
11344 CAMPUS ST, LOMA LINDA, CA 92354-3302
(909) 583-1444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95064309
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95064309
CA
Other
Enumeration date
12/18/2025
Last updated
01/26/2026
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