GRACE LEE BANIK

SAN FRANCISCO, CA
NPI1699152454
Former NameGRACE MYUNG LEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207YP0228X Otolaryngology, Pediatric Otolaryngology
(Licence: CA  A182376)
Additional Taxonomies207Y00000X Otolaryngology
(Licence: PA  MD473043)
207YP0228X Otolaryngology, Pediatric Otolaryngology
(Licence: PA  MT220064)
Enumeration Date2015-04-30
Last Update Date2022-12-02
Business Address
Dr. GRACE LEE BANIK MD
550 16TH ST RM 5310
SAN FRANCISCO, CA 94158-2545
Phone number: 415-353-2757
Mailing Address
Dr. GRACE LEE BANIK MD
550 16TH ST RM 5310
SAN FRANCISCO, CA 94158-2545
Phone number: 415-353-2757