Provider Demographics
NPI:1144520032
Name:LEE, CLARENCE MARCUS JR (MD)
Entity type:Individual
Prefix:DR
First Name:CLARENCE
Middle Name:MARCUS
Last Name:LEE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6125 PASEO DEL NORTE STE 130
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1119
Mailing Address - Country:US
Mailing Address - Phone:442-244-8347
Mailing Address - Fax:760-683-0470
Practice Address - Street 1:6125 PASEO DEL NORTE STE 130
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1119
Practice Address - Country:US
Practice Address - Phone:442-244-8347
Practice Address - Fax:760-683-0470
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1388792083P0500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Single Specialty