| Lance J. Lee M.D. Inc | |
|
1500 E Chevy Chase Dr Ste 204 Glendale CA 91206-4199 | |
| (818) 243-1501 | |
| (818) 638-7191 |
| Full Name | Lance J. Lee M.D. Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 E Chevy Chase Dr Ste 204, Glendale, California |
| Authorized Official Name and Position | Lance Jehong Lee (PRESIDENT) |
| Authorized Official Contact | 8182431501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lance J. Lee M.D. Inc 1500 E Chevy Chase Dr Ste 204 Glendale CA 91206-4199 Ph: (818) 243-1501 | Lance J. Lee M.D. Inc 1500 E Chevy Chase Dr Ste 204 Glendale CA 91206-4199 Ph: (818) 243-1501 |
| NPI Number | 1093699126 |
|---|---|
| Provider Enumeration Date | 08/01/2025 |
| Last Update Date | 08/01/2025 |
| Certification Date | 08/01/2025 |
| Medicare PECOS PAC ID | 6204332471 |
|---|---|
| Medicare Enrollment ID | O20251006002095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093699126 | NPI | - | NPPES |
| 1699742189 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | () | Primary |
| Provider Name | Lance J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699742189 PECOS PAC ID: 3870486376 Enrollment ID: I20040206000956 |
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