Provider Demographics
NPI:1447633094
Name:LEE, JOANNE (LAC)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7235 ORANGETHORPE AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-3311
Mailing Address - Country:US
Mailing Address - Phone:714-735-9735
Mailing Address - Fax:562-683-2145
Practice Address - Street 1:7235 ORANGETHORPE AVE
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-3311
Practice Address - Country:US
Practice Address - Phone:714-735-9735
Practice Address - Fax:562-683-2145
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16329171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist