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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124282645 | NPPES |
California | Other | A117214 | MEDICAL BOARD STATE LICENSE |
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