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1104169796
LISA LEE KIM
VAN NUYS, CA
NPI
1104169796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A136127)
Enumeration Date
2013-04-01
Last Update Date
2021-09-03
Business Address
LISA LEE KIM
16912 SHERMAN WAY
VAN NUYS, CA 91406-3613
Phone number: 818-881-9444
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Mailing Address
LISA LEE KIM
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1437
Phone number: 818-364-3205
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