Lee, Larisse K

Lee, Larisse K is an sole proprietor health care provider with primary practice located at 4955 Van Nuys Blvd Suite 704, Sherman Oaks CA 91403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Lee, Larisse K can be contacted via phone (818) 325-0400.

Contact Information

Primary practice address
4955 Van Nuys Blvd Suite 704 Sherman Oaks CA 91403
Phone: (818) 325-0400
Fax: (818) 325-0404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 239830 New York

Profile Details

NPI number 1124282645
LBN Legal business name Lee, Larisse K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2008
Last updated Dec 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124282645 NPPES
California Other A117214 MEDICAL BOARD STATE LICENSE

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