Individual
CLARA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 794-8247
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101262857
VA
Other
Enumeration date
06/23/2016
Last updated
12/26/2023
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