Provider Demographics
NPI:1073895983
Name:LEE, ALLISON S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:S
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:S
Other - Last Name:TSOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:24270 EL TORO RD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-3435
Mailing Address - Country:US
Mailing Address - Phone:949-581-5371
Mailing Address - Fax:949-581-5237
Practice Address - Street 1:24270 EL TORO RD
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92637-3435
Practice Address - Country:US
Practice Address - Phone:949-581-5371
Practice Address - Fax:949-581-5237
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist