| Doctor Name: | CONNERY LEE |
| NPI Number: | 1124294145 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | RN 614482 |
| Business Practice Address: | 21520 Pioneer Blvd Ste 110 Hawaiian Gardens, CA - 907162604 |
| Business Phone Number: | 5628653644 |
| Business Fax Number: | 5629243860 |
| Mailing Address: | 21520 Pioneer Blvd Ste 110, HAWAIIAN GARDENS |
| State: | CA |
| Postal Code: | 907162604 |
| Phone Number: | 5628653644 |
| Fax Number: | 5629243860 |
| NPI Enumeration Date: | 04/30/2008 |
| NPI Last Update Date: | 11/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN 614482 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |