Lance Lee, PT | |
975 Sereno Dr, Physical Therapy Department, Vallejo, CA 94589-2441 | |
(707) 651-4432 | |
(707) 651-4183 |
Full Name | Lance Lee |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841354784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 18076 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Lance Lee, PT 975 Sereno Dr, Physical Therapy Department, Vallejo, CA 94589-2441 Ph: (707) 651-4432 | Lance Lee, PT 975 Sereno Dr, Physical Therapy Department, Vallejo, CA 94589-2441 Ph: (707) 651-4432 |
Dawnielle Owens Vargas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 47 Michigan St, Vallejo, CA 94590 Phone: 707-315-3761 | |
Mr. Peter B Tan, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 765 Sereno Dr, Vallejo, CA 94589 Phone: 707-648-3144 Fax: 707-644-0630 | |
Pat Regan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4755 | |
Cristen Clark, Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4256 | |
Jeremy Allen Jackson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4863 | |
Jeannie Kim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4428 | |
Alex Braich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |