Provider Demographics
NPI:1215951041
Name:LEE, DONALD W (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:W
Last Name:LEE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:27555 YNEZ RD
Mailing Address - Street 2:STE. 105
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-4687
Mailing Address - Country:US
Mailing Address - Phone:951-302-1576
Mailing Address - Fax:951-303-8174
Practice Address - Street 1:27555 YNEZ RD
Practice Address - Street 2:STE. 105
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4687
Practice Address - Country:US
Practice Address - Phone:951-302-1576
Practice Address - Fax:951-303-8174
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-05-06
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Provider Licenses
StateLicense IDTaxonomies
CAG46275207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A562940Medicare PIN