Most Relevant Information
Provider Data
| NPI Number: | 1003497793 |
| Provider Name: | EMILY SU LEE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2021 |
| Last Updated: | 04/15/2021 |
Provider Practice Location
1200 N STATE STREET CLINIC TOWER
SUITE A7D
LOS ANGELES
CA
900331029
Practice Location Phone/Fax
| Phone: | 3234097556 |
| Fax: |
Provider Mailing Location
1200 N STATE STREET CLINIC TOWER
SUITE A7D
LOS ANGELES
CA
900331029
Provider Mailing Phone/Fax
| Phone: | 3234097556 |
| Fax: |