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General NPI Number Information
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NPI Number | 1083866719
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Entity Type | Organization
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Legal Business Name | LILLIAN C. LEE, M.D., INC.
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 15706 POMERADO RD STE 103
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City | POWAY
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State | CA
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Zip | 92064-2067
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Country | US
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Telephone | 858-451-8600
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Fax | 858-451-8383
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Provider Business Mailing Address
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Address Line | 15706 POMERADO RD STE 103
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City | POWAY
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State | CA
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Zip | 92064-2067
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Country | US
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Telephone | 858-451-8600
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Fax | 858-451-8383
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LILLIAN CATHERINE LEE
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Credential | M.D.
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Telephone | 858-451-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A68663
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License Number State | CA
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