Provider Demographics
NPI:1073743522
Name:LEE, ERIKA WU (LAC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:WU
Last Name:LEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:210 S CARSON RD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2904
Mailing Address - Country:US
Mailing Address - Phone:310-488-0750
Mailing Address - Fax:818-506-3889
Practice Address - Street 1:5652 VINELAND AVE STE 201
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2062
Practice Address - Country:US
Practice Address - Phone:818-506-0485
Practice Address - Fax:818-506-3889
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8557171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist