Lee, Patricia W

Lee, Patricia W is an sole proprietor health care provider with primary practice located at 2450 Samaritan Dr #1, San Jose CA 95124-3912. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Lee, Patricia W can be contacted via phone (408) 358-1855.

Contact Information

Primary practice address
2450 Samaritan Dr #1 San Jose CA 95124-3912
Fax: (408) 356-4183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD33189 District of Columbia
Allopathic & Osteopathic Physicians / Surgery 208600000X 61138838 Washington
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X D0066631 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X A102563 California

Profile Details

NPI number 1073724712
LBN Legal business name Lee, Patricia W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Jan 4th, 2024 - about 8 months 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 1073724712 NPPES
District of Columbia Other 19460039 CARFISRT BCBS
District of Columbia Other AY109Z CARFISRT BCBS
District of Columbia MEDICAID 413363301 CARFISRT BCBS
District of Columbia Other 61543001 CARFISRT BCBS

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