MEDICARE: DR. LILLIAN KIM LEE M.D.

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	207L00000X	Anesthesiology Physician	MD155857	OR
2	207L00000X	Anesthesiology Physician	A100719	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922276096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILLIAN KIM LEE M.D.

Provider Business Mailing Address
First Line	:	26522 LA ALAMEDA STE 370
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-6330
Country	:	US
Telephone Number	:	949-600-7864
Fax Number	:

Provider Business Practice Location Address
First Line	:	26522 LA ALAMEDA STE 370
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-6330
Country	:	US
Telephone Number	:	949-600-7864
Fax Number	:

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

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	03/17/2018

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