MEDICARE: CINDY BURNS LEE MD

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	207Q00000X	Family Medicine Physician	A43146	CA

General Provider Information

NPI Number	:	1306814256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY BURNS LEE MD

Provider Business Mailing Address
First Line	:	5 HARRIS CT
Second Line	:	BLDG. T SUITE 103
City	:	MONTEREY
State	:	CA
Zip	:	93940-5750
Country	:	US
Telephone Number	:	831-375-8880
Fax Number	:	831-375-8880

Provider Business Practice Location Address
First Line	:	5 HARRIS CT
Second Line	:	BLDG. T SUITE 103
City	:	MONTEREY
State	:	CA
Zip	:	93940-5750
Country	:	US
Telephone Number	:	831-375-8880
Fax Number	:	831-375-8880

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	09/15/2011

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