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General NPI Number Information
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NPI Number | 1295612646
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Entity Type | Individual
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Provider Name | LAURIE JEAN LEE RN, NP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 14532 CENTRAL AVE
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City | CHINO
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State | CA
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Zip | 91710-9503
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Country | US
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Telephone | 909-627-6225
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Fax | 909-627-7477
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Provider Business Mailing Address
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Address Line | 4162 GREEN AVE APT C
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3437
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Country | US
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Telephone | 949-685-2685
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13016
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License Number State | CA
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