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STEPHEN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10833 LE CONTE AVE STE AL-135, LOS ANGELES, CA 90095-3075
(310) 825-2071
(310) 794-4161
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A21288
CA
207ZH0000X
Hematology (Pathology) Physician
A21288
CA
207ZI0100X
Immunopathology Physician
A21288
CA
207ZP0101X
Anatomic Pathology Physician
A21288
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A21288
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A212880
CA
Enumeration date
06/23/2005
Last updated
11/21/2019
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