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NPI Code Detail

MEDICARE: MARILYN LEE

MEDICARE:   MARILYN  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
1101Y00000XCounselor

General Provider Information

NPI Number : 1629292396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN LEE
Provider Business Mailing Address
First Line : 1515 E 87TH PL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90002-1347
Country : US
Telephone Number : 562-360-7259
Fax Number :
Provider Business Practice Location Address
First Line : 8929 S SEPULVEDA BLVD STE 201
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3643
Country : US
Telephone Number : 562-218-1868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 05/03/2026

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Directions to “ MARILYN LEE ” Practice Location

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