Lee, Mary Mimi
Lee, Mary Mimi is an individual health care provider with primary practice located at 11201 Benton St , Loma Linda CA 92357-3504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Lee, Mary Mimi can be contacted via phone (098) 257-0849.Contact Information
Primary practice address
11201 Benton St
Loma Linda CA 92357-3504
Phone: (098) 257-0849
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 302352 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 19531 | California |
Profile Details
| NPI number | 1821480732 |
|---|---|
| LBN Legal business name | Lee, Mary Mimi |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2015 |
| Last updated | Jun 20th, 2023 - about 3 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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