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General NPI Number Information
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NPI Number | 1689619900
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Entity Type | Individual
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Provider Name | MARCUS F. LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1401 GARCES HIGHWAY
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City | DELANO
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State | CA
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Zip | 93215-3690
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Country | US
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Telephone | 661-721-5262
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Fax | 661-721-5254
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Provider Business Mailing Address
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Address Line | 2550 NORTH HOLLYWOOD WAY SUITE 209
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City | BURBANK
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State | CA
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Zip | 91505-5019
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Country | US
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Telephone | 818-557-0135
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Fax | 818-557-1394
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A43348
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License Number State | CA
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