Provider Demographics
NPI:1568629707
Name:LEE, CURRIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CURRIE
Middle Name:
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:PO BOX 3126
Mailing Address - Street 2:
Mailing Address - City:PINEDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93650-3126
Mailing Address - Country:US
Mailing Address - Phone:559-436-0871
Mailing Address - Fax:559-436-5221
Practice Address - Street 1:4487 STONERIDGE DR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8326
Practice Address - Country:US
Practice Address - Phone:925-600-1900
Practice Address - Fax:925-600-1908
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 109468207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFG870VMedicare PIN
CAFG870ZMedicare PIN
CAFG870UMedicare PIN
CAFG870WMedicare PIN
CAFG870YMedicare PIN
CAFG870XMedicare PIN