Individual
MS. AUDREY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
445 W EATON AVE, TRACY, CA 95376-3420
(209) 956-6615
(209) 954-4009
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
(916) 854-6769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA67732
CA
363A00000X
Physician Assistant
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
04/21/2026
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