| Dr Crystine M Lee, MD | |
|
1055 Broadway Ste A, Sonoma, CA 95476-7467 | |
| (866) 441-0570 | |
| Not Available |
| Full Name | Dr Crystine M Lee |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 1055 Broadway Ste A, Sonoma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508853896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A65187 (California) | Primary |
| 208600000X | Surgery | 065187 (California) | Secondary |
| Entity Name | Marin Surgical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508007535 PECOS PAC ID: 0840341947 Enrollment ID: O20090701000295 |
| Entity Name | Prima Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20101027000334 |
| Entity Name | Whole Health Weight Loss Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952823841 PECOS PAC ID: 7315204310 Enrollment ID: O20171129002764 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Crystine M Lee, MD 5 Eagle Gap Rd, Novato, CA 94949-6672 Ph: (486) 644-1057 | Dr Crystine M Lee, MD 1055 Broadway Ste A, Sonoma, CA 95476-7467 Ph: (866) 441-0570 |
Dr. Scott Vernon Perryman, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 651 1st St W, Ste K, Sonoma, CA 95476 Phone: 707-938-3870 Fax: 707-938-3076 | |
Dr. Alexis Regina Alexandridis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 246 Perkins St, Sonoma, CA 95476 Phone: 707-938-7690 Fax: 844-581-1700 | |
Dr. Russell Wayne Sawyer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 246 Perkins St, Sonoma, CA 95476 Phone: 707-938-7690 Fax: 844-581-1700 |