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NPI Code Detail

MEDICARE: DR. BRETT LEE M.D.

MEDICARE: DR. BRETT 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
12471C3402XRadiography Radiologic TechnologistA85946CA
22085R0202XDiagnostic Radiology PhysicianA85946CA

General Provider Information

NPI Number : 1427034255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRETT LEE M.D.
Provider Business Mailing Address
First Line : 2500 MERCED ST
Second Line : RADIOLOGY DEPT
City : SAN LEANDRO
State : CA
Zip : 94577-4201
Country : US
Telephone Number : 510-274-1150
Fax Number :
Provider Business Practice Location Address
First Line : 2500 MERCED ST
Second Line : RADIOLOGY DEPT
City : SAN LEANDRO
State : CA
Zip : 94577-4201
Country : US
Telephone Number : 510-274-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 12/14/2021

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