Doctor Name: | DR. LIONEL HOLDEN LEE |
NPI Number: | 1922259001 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20A10558 |
Business Practice Address: | 400 N Pepper Ave Colton, CA - 923241801 |
Business Phone Number: | 9095801000 |
Business Fax Number: | |
Mailing Address: | 400 N Pepper Ave, COLTON |
State: | CA |
Postal Code: | 923241801 |
Phone Number: | 9095801862 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 03/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A10558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |