Healthcare Provider Details

I. General information

NPI: 1669659033
Provider Name (Legal Business Name): SUZEE EURIE LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 4TH ST
SAN FRANCISCO CA
94158-2324
US

IV. Provider business mailing address

675 NELSON RISING LN
SAN FRANCISCO CA
94158-2506
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberA103301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: