Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 95003083 | CA |
N | 363LA2200X | Nurse Practitioner - Adult Health | 95003083 | CA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 95003083 | CA |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 95003083 | CA |
NPI | 1093183931 |
---|---|
Provider Name | Ms. Barbara Janine Lee |
First Address | Moorpark, CA 93021-2558 |
Second Address | Westlake Village, CA 91361-4051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2015 |
Last Update Date | 08/01/2019 |