Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-19 | CA |
NPI | 1063545994 |
---|---|
Provider Name | Dr. Amanda Lee-I Lien |
First Address | Oakland, CA 94611-5353 |
Second Address | Oakland, CA 94611-5353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |