Provider Demographics
NPI:1952670507
Name:LEE, PATRICIA JEEWON (NP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JEEWON
Last Name:LEE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:13469 LIBERTY WAY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-2686
Mailing Address - Country:US
Mailing Address - Phone:714-580-8600
Mailing Address - Fax:
Practice Address - Street 1:3576 ARLINGTON AVE STE 205
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3984
Practice Address - Country:US
Practice Address - Phone:951-530-8972
Practice Address - Fax:951-530-8973
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20970363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology