Gordon Eliot Lee, MD
Internal Medicine, Gastroenterology in Santa Cruz, CA. Individual provider (NPI-1).
NPI number1124100367
StatusActive
Last updated in NPPESJan 24, 2012
Details
- NPI
- 1124100367
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gordon Eliot Lee
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2006
- Last updated
- Jan 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | G29794 | CA | Yes |
Practice location
1505 Soquel DriveSuite 8
Santa Cruz, CA 95065-1716
Phone 831-476-4230 · Fax 831-476-0571
Mailing address
1505 Soquel DriveSuite 8
Santa Cruz, CA 95065-1716
Phone 831-476-4230 · Fax 831-476-0571
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