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NPI Code Detail

MEDICARE: CHRISTINE LEE

MEDICARE: CHRISTINE LEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1003744475
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LEE
Provider Business Mailing Address
First Line : 4385 OCEAN VIEW BLVD
Second Line :
City : MONTROSE
State : CA
Zip : 91020-1276
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2508
Country : US
Telephone Number : 718-630-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ CHRISTINE LEE ” Practice Location

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