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Organization

MICHAEL M LEE D O INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL M LEE DO (PRESIDENT)
(530) 212-0002
Entity
Organization

Contact information

Practice address
5353 G ST, CHINO, CA 91710-5250
(909) 590-3700
Mailing address
16155 SIERRA LAKES PKWY #160, UNIT 740, FONTANA, CA 92336
(530) 212-0002

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
Primary

Other

Enumeration date
08/13/2019
Last updated
04/18/2023
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