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General NPI Number Information
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NPI Number | 1912052275
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Entity Type | Organization
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Legal Business Name | LESLIE LEE, M.D., A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 150 S RAYMOND AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-3166
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Country | US
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Telephone | 626-300-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 150 S RAYMOND AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-3166
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Country | US
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Telephone | 626-300-0008
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LESLIE LEE
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Credential | M.D.
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Telephone | 626-300-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A062246
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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