Most Relevant Information
Provider Data
| NPI Number: | 1003008855 |
| Provider Name: | ALISIA D. LEE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA19311 |
Most Important Dates
| Enumeration Date: | 08/15/2007 |
| Last Updated: | 09/30/2013 |
Provider Practice Location
1014 SAN JUAN AVE
EXETER
CA
932211312
Practice Location Phone/Fax
| Phone: | 5595927300 |
| Fax: | 5596246590 |
Provider Mailing Location
1014 SAN JUAN AVE
EXETER
CA
932211312
Provider Mailing Phone/Fax
| Phone: | 5595927300 |
| Fax: | 5596246590 |