Individual provider · Type 1 NPI
Sang Dae Lee, DPM
Foot & Ankle Surgery Podiatrist · San Bernardino, CA
NPI number
1780694356
Active
Practice location
2095 N Waterman Ave
San Bernardino, CA 92404-4834
Fax (909) 882-3380
Mailing address
467 Redtail Dr
Brea, CA 92823-1040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4416 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in San Bernardino
About NPI 1780694356
Sang Dae Lee, DPM's National Provider Identifier is 1780694356, issued on Aug 8, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 11, 2009.