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Contact Information

IVY A LEE, MD
960 E. GREEN STREET
SUITE #330
PASADENA, CA91106
 Phone: 626-449-4207
 Fax: 626-449-0925
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for IVY A LEE · (Female)

NPI # 1699947317
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2008
Last updated 05/16/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A111232
  • DC License # MD036840
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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