| Doctor Name: | MRS. BRENDA MARIE LEE |
| NPI Number: | 1699754952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 194591 |
| Business Practice Address: | 5342 Dudley Blvd Mcclellan, CA - 956521012 |
| Business Phone Number: | 9165617480 |
| Business Fax Number: | 9165617486 |
| Mailing Address: | 4950 Thor Way, CARMICHAEL |
| State: | CA |
| Postal Code: | 956085650 |
| Phone Number: | 9164840825 |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2006 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 194591 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |