Provider Demographics
NPI:1326236662
Name:LEE, JASON DIEU (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:DIEU
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 LAWRENCE EXPY
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY, 204
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5173
Mailing Address - Country:US
Mailing Address - Phone:408-851-6100
Mailing Address - Fax:408-851-6101
Practice Address - Street 1:700 LAWRENCE EXPY
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY, 204
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-851-6100
Practice Address - Fax:408-851-6101
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88138207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology