Provider Demographics
NPI:1598032971
Name:LEE, LUCY Y (PHARM D)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:Y
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16555 VON KARMAN AVE # A
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-4928
Mailing Address - Country:US
Mailing Address - Phone:949-623-7470
Mailing Address - Fax:949-623-7471
Practice Address - Street 1:16555 VON KARMAN AVE # A
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-4928
Practice Address - Country:US
Practice Address - Phone:949-623-7470
Practice Address - Fax:949-623-7471
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55293183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist