Provider Demographics
NPI:1992049571
Name:LEE, JASPER (DPM)
Entity type:Individual
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First Name:JASPER
Middle Name:
Last Name:LEE
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:595 BUCKINGHAM WAY
Mailing Address - Street 2:SUITE 330
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1911
Mailing Address - Country:US
Mailing Address - Phone:415-731-6700
Mailing Address - Fax:415-759-8637
Practice Address - Street 1:595 BUCKINGHAM WAY
Practice Address - Street 2:SUITE 330
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1909
Practice Address - Country:US
Practice Address - Phone:415-731-6700
Practice Address - Fax:415-759-8637
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2017-07-18
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Provider Licenses
StateLicense IDTaxonomies
CAE5212213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery