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Shannon Lee, DO
Student in an Organized Health Care Education/Training Program in Cerritos, California
NPI 1730809369

Shannon Lee is a Student in an Organized Health Care Education/Training Program based in Cerritos, CA. Shannon Lee practices in Cerritos, CA and has the professional credentials of DO. The NPI Number for Shannon Lee is 1730809369 and holds a License No. (California).

The current practice location address for Shannon Lee is 19700 Penny Ln, Cerritos, CA and can be reached out via phone at 562-417-8307.

Location: 19700 Penny Ln, Cerritos, CA, 90703-6467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730809369
Provider Name
Shannon Lee
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
19700 Penny Ln, Cerritos, CA, 90703-6467
Phone Number
562-417-8307
Fax Number
Provider Enumeration Date
09/01/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04208827 01 ACP
institution
Provider Business Practice Location Address Details
Address
19700 Penny Ln
City
Cerritos
State
California
Zip
90703-6467
Phone Number
562-417-8307
Fax Number
person
Provider Business Mailing Address Details
Address
19700 Penny Ln
City
Cerritos
State
California
Zip
90703-6467
Phone Number
562-417-8307
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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