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Individual

CLAIRE BOKYUNG LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2829 S GRAND AVE, LOS ANGELES, CA 90007-3304
(213) 744-3677
Mailing address
23231 MALTBY PL, HARBOR CITY, CA 90710-1132
(213) 590-3923

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002137
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D6777477
DRIVER LICENSE
CA
Enumeration date
07/16/2015
Last updated
07/16/2015
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