MEDICARE: DR. DONNA LEE MD

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
1	207R00000X	Internal Medicine Physician	A070092	CA

General Provider Information

NPI Number	:	1093792004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA LEE MD

Provider Business Mailing Address
First Line	:	3005 SILVER CREEK RD
Second Line	:	SUITE 158
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1789
Country	:	US
Telephone Number	:	408-270-3877
Fax Number	:	408-270-3835

Provider Business Practice Location Address
First Line	:	3005 SILVER CREEK RD
Second Line	:	SUITE 158
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1789
Country	:	US
Telephone Number	:	408-270-3877
Fax Number	:	408-270-3835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	07/08/2007

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