Lee, Eric C

Lee, Eric C is an individual health care provider with primary practice located at 1238 E Arrow Hwy , Upland CA 91786-4951. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lee, Eric C can be contacted via phone (909) 982-0099.

Contact Information

Primary practice address
1238 E Arrow Hwy Upland CA 91786-4951
Phone: (909) 982-0099
Fax: (909) 931-0402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A67823 California

Profile Details

NPI number 1760481808
LBN Legal business name Lee, Eric C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Sep 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760481808 NPPES
California MEDICAID GR0091870

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