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Jae Young Lee
Family Nurse Practitioner in Victorville, California
NPI 1952004095

Jae Young Lee is a Family Nurse Practitioner based in Buena Park, CA and is specialized in Family. Jae Young Lee practices in Victorville, CA. The NPI Number for Jae Young Lee is 1952004095 and holds a License No. NP95024373 (California).

The current practice location address for Jae Young Lee is 15095 Amargosa Rd Ste 102, Victorville, CA and can be reached out via phone at 760-552-4470.

Location: 15095 Amargosa Rd Ste 102, Victorville, CA, 90621-7425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952004095
Provider Name
Jae Young Lee
Credential
Provider Entity Type
Individual
Gender
Female
Address
15095 Amargosa Rd Ste 102, Victorville, CA, 90621-7425
Phone Number
760-552-4470
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15095 Amargosa Rd Ste 102
City
Victorville
State
California
Zip
92394-1875
Phone Number
760-552-4470
Fax Number
person
Provider Business Mailing Address Details
Address
15095 Amargosa Rd Ste 102
City
Victorville
State
California
Zip
92394-1875
Phone Number
760-552-4470
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95024373 (California)
Definition
Definition to come...
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