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Individual

DR. LEE S AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7365 CARNELIAN ST, STE 137, RANCHO CUCAMONGA, CA 91730-1100
(909) 948-8888
(909) 948-8839
Mailing address
7365 CARNELIAN ST, STE 137, RANCHO CUCAMONGA, CA 91730-1100
(909) 948-8888
(909) 948-8839

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G43777
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G437770
CA
Enumeration date
09/20/2006
Last updated
04/21/2011
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