Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A112769 | CA |
NPI | 1053512558 |
---|---|
Provider Name | Dr. Christopher Sy Lee |
First Address | Burbank, CA 91505-4554 |
Second Address | Burbank, CA 91505-4554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 17/08/2011 |