Individual provider · Type 1 NPI

Kyung Ah Lee

Primary Care Nurse Practitioner · Upland, CA

NPI number 1972104453 Active

Practice location

1183 E Foothill Blvd Ste 135
Upland, CA 91786-4082

Call (909) 931-1368 Map

Fax (909) 931-1372

Mailing address

1201 W Valencia Dr Spc 1
Fullerton, CA 92833-3320

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95015267 (CA)

Primary Care Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1972104453

Kyung Ah Lee's National Provider Identifier is 1972104453, issued on Nov 3, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Upland, CA. The record was last updated on May 5, 2022.