Individual
DR. JEFFREY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 W ROUTE 66, SUITE 320, GLENDORA, CA 91740-6249
(626) 914-4685
(626) 914-1691
Mailing address
130 W ROUTE 66, SUITE 320, GLENDORA, CA 91740-6249
(626) 914-4685
(626) 914-1691
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A35939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A359390
—
CA
Enumeration date
08/16/2006
Last updated
07/08/2007
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