Individual
KYUNG AH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1183 E FOOTHILL BLVD STE 135, UPLAND, CA 91786-4082
(909) 931-1368
(909) 931-1372
Mailing address
1201 W VALENCIA DR SPC 1, FULLERTON, CA 92833-3320
(562) 290-3121
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95015267
CA
Other
Enumeration date
11/03/2020
Last updated
05/05/2022
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