Provider Demographics
NPI:1912070327
Name:LEE, BRIAN NELSON (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:NELSON
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4501 DON PABLO PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-2808
Mailing Address - Country:US
Mailing Address - Phone:323-719-7238
Mailing Address - Fax:323-291-0798
Practice Address - Street 1:5345 IRWINDALE AVE
Practice Address - Street 2:
Practice Address - City:IRWINDALE
Practice Address - State:CA
Practice Address - Zip Code:91706-2025
Practice Address - Country:US
Practice Address - Phone:626-960-5361
Practice Address - Fax:626-337-0833
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2011-10-29
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Provider Licenses
StateLicense IDTaxonomies
CAG851192083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine