Provider Demographics
NPI:1851918718
Name:LEE, VERONICA A (DO)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:A
Last Name:LEE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1375 RIVERBEND DR APT 104
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664-4075
Mailing Address - Country:US
Mailing Address - Phone:619-513-2902
Mailing Address - Fax:619-513-2902
Practice Address - Street 1:306 W EL NORTE PKWY STE S
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-1960
Practice Address - Country:US
Practice Address - Phone:760-291-6700
Practice Address - Fax:760-746-5313
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2023-05-24
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Provider Licenses
StateLicense IDTaxonomies
VA0116034137207Q00000X
CA20A20659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0116034137OtherVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS LICENSING NUMBER
CA20A20659OtherOSTEOPATHIC MEDICAL BOARD OF CALIFORNIA LICENSING NUMBER