Provider Demographics
NPI:1417037862
Name:LEE, DENNIS (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 BUCHANAN ST
Mailing Address - Street 2:SUITE #201
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3252
Mailing Address - Country:US
Mailing Address - Phone:415-674-9999
Mailing Address - Fax:415-674-9998
Practice Address - Street 1:1832 BUCHANAN ST
Practice Address - Street 2:SUITE #201
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3252
Practice Address - Country:US
Practice Address - Phone:415-674-9999
Practice Address - Fax:415-674-9998
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor