Larisse K Lee
Vascular Surgeon
4955 Van Nuys Blvd Suite 704
Sherman Oaks
, California 91403
Larisse K Lee
Vascular Surgeon
4955 Van Nuys Blvd Suite 704
Sherman Oaks
, California 91403
(818) 325-0404
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Larisse K Lee
- 4955 Van Nuys Blvd Suite 704
- Sherman Oaks, CA
- Zip : 91403
- Fax : (818) 325-0404
- Phone : (818) 325-0400
Second Address
- Larisse K Lee
- 4955 Van Nuys Blvd Suite 704
- Sherman Oaks, CA
- Zip : 91403
- Fax : (818) 325-0404
- Phone : (818) 325-0400
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Is Larisse K Lee a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 239830 | NY |
National Provider Identifier
| NPI | 1124282645 |
|---|---|
| Provider Name | Larisse K Lee |
| First Address | Sherman Oaks, CA 91403 |
| Second Address | Sherman Oaks, CA 91403 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2008 |
| Last Update Date | 02/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A117214 | MEDICAL BOARD STATE LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.