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Individual

MR. AUDIE L LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C.

Contact information

Practice address
2912 21ST AVE, SAN FRANCISCO, CA 94132-1504
(207) 632-0741
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1413
NV
363AS0400X
Surgical Physician Assistant
Primary
PA19457
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0095280
CA
Enumeration date
12/18/2007
Last updated
04/08/2025
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