Individual provider · Type 1 NPI

Susan Lee Park, NP, L AC

Gerontology Nurse Practitioner · Irvine, CA

NPI number 1457511123 Active

About NPI 1457511123

Susan Lee Park, NP, L AC's National Provider Identifier is 1457511123, issued on Jun 16, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Irvine, CA. The record was last updated on May 13, 2025.