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Tarah Nicole Lee, OD
Student in an Organized Health Care Education/Training Program in Palo Alto, California
NPI 1467719971

Tarah Nicole Lee is a Student in an Organized Health Care Education/Training Program based in Sacramento, CA. Tarah Nicole Lee practices in Palo Alto, CA and has the professional credentials of OD. The NPI Number for Tarah Nicole Lee is 1467719971 and holds a License No. (California).

The current practice location address for Tarah Nicole Lee is 3801 Miranda Ave, Palo Alto, CA and can be reached out via phone at 650-493-5000.

Location: 3801 Miranda Ave, Palo Alto, CA, 95831-2537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467719971
Provider Name
Tarah Nicole Lee
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
3801 Miranda Ave, Palo Alto, CA, 95831-2537
Phone Number
650-493-5000
Fax Number
Provider Enumeration Date
04/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3801 Miranda Ave
City
Palo Alto
State
California
Zip
94304-1207
Phone Number
650-493-5000
Fax Number
person
Provider Business Mailing Address Details
Address
3801 Miranda Ave
City
Palo Alto
State
California
Zip
94304-1207
Phone Number
650-493-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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