Provider Demographics
NPI:1760689525
Name:LEE, CASSANDRA ALDA (MD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:ALDA
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2805 J ST
Mailing Address - Street 2:SUITE 3400
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4307
Mailing Address - Country:US
Mailing Address - Phone:916-734-5874
Mailing Address - Fax:916-734-6806
Practice Address - Street 1:2805 J ST
Practice Address - Street 2:SUITE 3400
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4307
Practice Address - Country:US
Practice Address - Phone:916-734-6805
Practice Address - Fax:916-734-5318
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2012-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2008011791207X00000X
CAA109362207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery