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General NPI Number Information
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NPI Number | 1427192186
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Entity Type | Organization
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Legal Business Name | LAMONT R LEE, PH.D. A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 41707 WINCHESTER RD STE 203
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City | TEMECULA
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State | CA
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Zip | 92590-4867
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Country | US
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Telephone | 951-296-0323
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Fax | 951-245-0309
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Provider Business Mailing Address
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Address Line | 41707 WINCHESTER RD STE 203
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City | TEMECULA
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State | CA
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Zip | 92590-4867
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Country | US
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Telephone | 951-296-0323
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Fax | 951-245-0309
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LAMONT R LEE
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Credential | PH.D.
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Telephone | 951-296-0323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY5254
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License Number State | CA
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