Individual provider · Type 1 NPI

Tarah Nicole Lee, OD

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

NPI number 1467719971 Active

Practice location

3801 Miranda Ave, 112/OPTOM
Palo Alto, CA 94304-1207

Call (650) 493-5000 Map

Mailing address

6975 Wavecrest Way
Sacramento, CA 95831-2537

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 1467719971

Tarah Nicole Lee, OD's National Provider Identifier is 1467719971, issued on Apr 20, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palo Alto, CA. The record was last updated on Apr 20, 2012.