Provider Demographics
NPI:1932850724
Name:LEE, ISABEL S (PA-C)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:S
Last Name:LEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 CAMINO DEL MAR STE B
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2553
Mailing Address - Country:US
Mailing Address - Phone:858-925-8233
Mailing Address - Fax:858-925-8218
Practice Address - Street 1:1359 CAMINO DEL MAR
Practice Address - Street 2:SUITE B
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014
Practice Address - Country:US
Practice Address - Phone:858-925-8233
Practice Address - Fax:858-925-8218
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA62909363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical