Da Mi Lee
Nurse Practitioner, Family in Newport Beach, CA. Individual provider (NPI-1).
NPI number1558087684
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1558087684
- Entity type
- Individual (NPI-1)
- Name
- Da Mi Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2022
- Certification date
- Oct 30, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95021945 | CA | Yes |
Practice location
4695 Macarthur Ct # 1112aNewport Beach, CA 92660-1882
Phone 949-520-1490
Mailing address
4695 Macarthur Ct # 1112aNewport Beach, CA 92660-1882
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