RUSSELL G LEE

PERMANENTE MEDICAL GROUP INC

Dr RUSSELL G LEE is a male medical professional, specializing in Optometry. He graduated in 1986 from Southern California College Of Optometry.

Contact

PERMANENTE MEDICAL GROUP INC

7373 W LANE
STOCKTON
CA
952103377

Tel: 2094762000

RUSSELL G LEE Information

Npi 1508923350
Pac Id 7113177106
Professional Enrollment Id I20121029000555
Last Name LEE
First Name RUSSELL
Middle Name G
Suffix
Gender M
Credential
Medical School Name SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year 1986
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PERMANENTE MEDICAL GROUP INC
Group Practice Pac Id 8921910225
Number Of Group Practice Members 7392
Line 1 Street Address 7373 W LANE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City STOCKTON
State CA
Zip Code 952103377
Phone Number 2094762000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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