Provider Demographics
NPI:1225084312
Name:WEE, LOLITA (CRNA)
Entity Type:Individual
Prefix:MS
First Name:LOLITA
Middle Name:
Last Name:WEE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2076 W MACARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-1113
Mailing Address - Country:US
Mailing Address - Phone:714-585-3768
Mailing Address - Fax:
Practice Address - Street 1:2076 W MACARTHUR ST
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-1113
Practice Address - Country:US
Practice Address - Phone:714-585-3768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50420367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered