| Doctor Name: | RENEE JEANNE LEE |
| NPI Number: | 1063688299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., N.P. |
| License Number: | 538100 |
| Business Practice Address: | 1234 E North St Suite 102 Manteca, CA - 953364960 |
| Business Phone Number: | 2098242202 |
| Business Fax Number: | 2098242205 |
| Mailing Address: | 1234 E North St, Suite 102 MANTECA |
| State: | CA |
| Postal Code: | 953364960 |
| Phone Number: | 2098242202 |
| Fax Number: | 2098242205 |
| NPI Enumeration Date: | 05/07/2008 |
| NPI Last Update Date: | 05/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 538100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |