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NPI Code Detail

MEDICARE: LEE EGLESTON

MEDICARE:   LEE  EGLESTON
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
1172A00000XDriverCA

General Provider Information

NPI Number : 1033065206
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE EGLESTON
Provider Business Mailing Address
First Line : 10088 GREENHORN CT
Second Line :
City : CORONA
State : CA
Zip : 92883-5445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10088 GREENHORN CT
Second Line :
City : CORONA
State : CA
Zip : 92883-5445
Country : US
Telephone Number : 951-283-5113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ LEE EGLESTON ” Practice Location

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