Provider Demographics
NPI:1053795203
Name:LEE, CHRISTOPHER STEVEN (PA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:STEVEN
Last Name:LEE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:520 S KINGSLEY DR APT 206
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3509
Mailing Address - Country:US
Mailing Address - Phone:323-351-5287
Mailing Address - Fax:
Practice Address - Street 1:520 S KINGSLEY DR APT 206
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-3509
Practice Address - Country:US
Practice Address - Phone:323-351-5287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2021-11-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant