Dr. Jisun Julia Lee
Podiatrist, Foot & Ankle Surgery in Palo Alto, CA. Individual provider (NPI-1).
NPI number1982187027
StatusActive
Last updated in NPPESSep 14, 2018
Details
- NPI
- 1982187027
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jisun Julia Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2018
- Last updated
- Sep 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 6846 | CA | Yes |
Other names
- Jisun Lee (Former Name)
Practice location
3801 Miranda AvePalo Alto, CA 94304-1207
Phone 650-493-5000
Mailing address
3801 Miranda AvePalo Alto, CA 94304-1207
Phone 650-493-5000
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