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General NPI Number Information
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NPI Number | 1346350493
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Entity Type | Individual
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Provider Name | TIMOTHY Y. LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 6401 COYLE AVE STE 416
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City | CARMICHAEL
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State | CA
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Zip | 95608
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Country | US
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Telephone | 916-966-3501
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Fax | 916-966-2805
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Provider Business Mailing Address
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Address Line | 3400 DATA DRIVE
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone | 916-564-3040
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Fax | 916-564-3065
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G60986
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | G60986
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License Number State | CA
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