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NPI Code Detail

MEDICARE: JANELLE Y. LEE ACU

MEDICARE: JANELLE Y. LEE ACU
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
1171100000XAcupuncturistAC11437CA

General Provider Information

NPI Number : 1861512626
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE Y. LEE ACU
Provider Business Mailing Address
First Line : 12880 RANCHO PENASQUITOS BLVD
Second Line : SUITE B
City : SAN DIEGO
State : CA
Zip : 92129-2966
Country : US
Telephone Number : 858-484-2000
Fax Number : 858-484-3414
Provider Business Practice Location Address
First Line : 12880 RANCHO PENASQUITOS BLVD
Second Line : SUITE B
City : SAN DIEGO
State : CA
Zip : 92129-2966
Country : US
Telephone Number : 858-484-2000
Fax Number : 858-484-3414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/01/2009

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Directions to “ JANELLE Y. LEE ACU” Practice Location

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