Provider Demographics
NPI:1205077666
Name:LEE, ANNIE DA (MD)
Entity type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:DA
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1050 E YORBA LINDA BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3730
Mailing Address - Country:US
Mailing Address - Phone:714-572-9481
Mailing Address - Fax:
Practice Address - Street 1:1050 E YORBA LINDA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3730
Practice Address - Country:US
Practice Address - Phone:714-572-9481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA110488207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology