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NPI Code Detail

MEDICARE: CHRISTINE LEE

MEDICARE: CHRISTINE LEE
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
1183500000XPharmacist47420TX
2183500000XPharmacist65147CA

General Provider Information

NPI Number : 1609162171
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LEE
Provider Business Mailing Address
First Line : 2220 BRIDGEPOINTE PKWY
Second Line :
City : FOSTER CITY
State : CA
Zip : 94404-1569
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2220 BRIDGEPOINTE PKWY
Second Line :
City : FOSTER CITY
State : CA
Zip : 94404-1569
Country : US
Telephone Number : 650-393-2196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2011
Last Update Date : 02/23/2014

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Directions to “ CHRISTINE LEE ” Practice Location

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