Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A44995 | CA |
N | 207ND0900X | Dermatopathologist | A44995 | CA |
N | 207NS0135X | Procedural Dermatology | A44995 | CA |
NPI | 1205902855 |
---|---|
Provider Name | Dr. Stephen S Lee |
First Address | Monterey, CA 93940-1486 |
Second Address | Monterey, CA 93940-1486 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 18/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F81820 | (02) | CA |