Individual provider · Type 1 NPI

Logan Kongpeng Lee

Student in an Organized Health Care Education/Training Program · Oroville, CA

NPI number 1114817293 Active

Practice location

82 Table Mountain Blvd
Oroville, CA 95965-3578

Mailing address

555 Nord Ave Apt 2
Chico, CA 95926-4713

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1114817293

Logan Kongpeng Lee's National Provider Identifier is 1114817293, issued on Jul 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oroville, CA. The record was last updated on Jul 8, 2025.