Individual provider · Type 1 NPI
Gavin Lee
Foot & Ankle Surgery Podiatrist · Fresno, CA
NPI number
1760978290
Active
Practice location
7210 N Milburn Ave Ste 101
Fresno, CA 93722-8449
Mailing address
4773 Hazelnut Ave
Seal Beach, CA 90740-3016
Other practice locations
- 975 Sereno Dr, Vallejo, CA 94589-2441 · (707) 651-4071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5623 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1760978290
Gavin Lee's National Provider Identifier is 1760978290, issued on Jul 9, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fresno, CA. The record was last updated on Aug 12, 2020.