Provider Demographics
NPI:1467694000
Name:LEE, RENE W (DO)
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:W
Last Name:LEE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:8235 ROCHESTER AVE
Mailing Address - Street 2:SUITE 110-120
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0718
Mailing Address - Country:US
Mailing Address - Phone:909-484-4900
Mailing Address - Fax:909-243-7868
Practice Address - Street 1:8235 ROCHESTER AVE
Practice Address - Street 2:SUITE 110-120
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0718
Practice Address - Country:US
Practice Address - Phone:909-484-4900
Practice Address - Fax:909-243-7868
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2012-08-31
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Provider Licenses
StateLicense IDTaxonomies
CA20A11451208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics