Provider Demographics
NPI:1437164712
Name:LEE, TAMMY B (DO)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:B
Last Name:LEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1885 STEINMAN ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-7810
Mailing Address - Country:US
Mailing Address - Phone:941-202-1940
Mailing Address - Fax:951-534-0423
Practice Address - Street 1:1885 STEINMAN ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-7810
Practice Address - Country:US
Practice Address - Phone:941-202-1940
Practice Address - Fax:951-534-0423
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9151207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology