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NPI Code Detail

MEDICARE: CHRISTOPHER H LEE

MEDICARE: CHRISTOPHER H 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
1183500000XPharmacist79455CA

General Provider Information

NPI Number : 1235602582
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER H LEE
Provider Business Mailing Address
First Line : 3232 FOOTHILL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-3113
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3232 FOOTHILL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-3113
Country : US
Telephone Number : 510-633-3044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2019
Last Update Date : 01/09/2019

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Directions to “ CHRISTOPHER H LEE ” Practice Location

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