NPI

Jesse Lee

NPI 1790293884

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PharmD
Type
Individual
Enumeration date
2018-01-11
Last updated
2026-01-28

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Specialties

Licenses

License PA
RP452126

Location

Practice location
30 Nightingale Rd Bldg 5525
City
Edwards Afb CA
Postal code
93524-0001
Phone
(661) 275-2769

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Edwards Afb, CA. 58 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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