Larisse K Lee in Sherman Oaks - Vascular Surgery
Larisse K Lee - NPI 1124282645
Larisse K Lee is a Vascular Surgery in Sherman Oaks, California. Larisse K Lee practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Larisse K Lee is 1124282645. The last update date is 2019-12-02.
Larisse K Lee's current location address is 4955 Van Nuys Blvd, Sherman Oaks, California. You can contact this provider via phone number 8183250400 and fax number 8183250404. The mailing address for Larisse K Lee is 4955 Van Nuys Blvd, Sherman Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larisse K Lee |
|---|---|
| Address | 4955 Van Nuys Blvd, Sherman Oaks, California |
| Phone Number | 8183250400 |
| Fax Number | 8183250404 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124282645 |
|---|---|
| Provider Enumeration Date | 2008-07-14 |
| Last Updated Date | 2019-12-02 |
Provider Mailing Address Detail
| Address | 4955 Van Nuys Blvd |
|---|---|
| City | Sherman Oaks |
| State | California (CA) |
| Post Code | 91403 |
| Phone Number | 8183250400 |
| Fax Number | 8183250404 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 239830 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A117214 | CA | MEDICAL BOARD STATE LICENSE |
Post Comment/ Review Below
What is the Larisse K Lee's unique identification number?
The Larisse K Lee has been assigned the NPI (National Provider Identifier) Number 1124282645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Larisse K Lee is physically located?
The Larisse K Lee is physically situated at the following address: 4955 Van Nuys Blvd, Sherman Oaks, CA, 91403.
What is the area of specialization for Larisse K Lee, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larisse K Lee is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124282645 to Larisse K Lee?
The Centers for Medicare & Medicaid Services assigned the 1124282645 to Larisse K Lee on 2008-07-14.
When was the information pertaining to Larisse K Lee most recently updated or revised?
The details related to Larisse K Lee, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-02.
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