Provider Demographics
NPI:1366476970
Name:LEE, JAMES F (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7248 SOUTH LAND PARK DR SUITE 205
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3661
Mailing Address - Country:US
Mailing Address - Phone:916-392-4000
Mailing Address - Fax:916-392-7215
Practice Address - Street 1:2101 STONE BLVD. SUITE 190
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-4044
Practice Address - Country:US
Practice Address - Phone:916-371-4939
Practice Address - Fax:916-371-5401
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG774160207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0078352OtherMEDICAL
CAZZZ13862ZMedicare PIN
CAGR0078352OtherMEDICAL