MEDICARE: STEPHEN K LEE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A52913	CA

General Provider Information

NPI Number	:	1053327288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN K LEE M.D.

Provider Business Mailing Address
First Line	:	1044 TARAVAL ST
Second Line	:	#303
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-2423
Country	:	US
Telephone Number	:	415-566-3808
Fax Number	:	415-566-3808

Provider Business Practice Location Address
First Line	:	3580 CALIFORNIA ST
Second Line	:	#303
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-1725
Country	:	US
Telephone Number	:	415-563-8686
Fax Number	:	415-563-8910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	03/14/2017

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