Dwayne Lee, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

10136 Issued in CA

Practice address

1219 Camino del Mar
Del Mar, CA 92014-2505

Phone

(858) 793-1104

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1386855948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 VERDA LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306931",
            "telephone_number": "760-390-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 CAMINO DEL MAR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142505",
            "telephone_number": "858-793-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE BOARD LICENSE NUMBER",
            "identifier": "10136",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Scott Kurtin, MD
• Aristotelis Theodore Laliotis, M.D.
• Nadine Hyde Lardon, PSYD
• Larson Medical Group, Inc
• Kathleen Ann Larson
• Isabel S Lee, PA-C
• Kristen M. Lee, L.AC.
• Wiggin W Lee, MD
• Nicolai Lennox, D.C.
• William E. Lerner, DC

• Acupuncturist in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.