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Audrey Lee, PA-C

Physician Assistant in Tracy, CA. Individual provider (NPI-1).

NPI number1992598064
StatusActive
Last updated in NPPESApr 21, 2026

Details

NPI
1992598064
Entity type
Individual (NPI-1)
Name
Ms. Audrey Lee
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
May 22, 2025
Certification date
Apr 21, 2026
Last updated
Apr 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA67732CAYes

Practice location

445 W Eaton Ave
Tracy, CA 95376-3420

Phone 209-956-6615 · Fax 209-954-4009

Mailing address

Po Box 255228
Sacramento, CA 95865-5228

Phone 800-470-0071 · Fax 916-854-6769

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