CA Wall License 862 Information
| Name | Lisa Lee |
| License Number | 862 |
| Individual or Organization | O |
| Address | 1777 N Bellflower Ste. 107
Long Beach, CA 90815 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 6/17/2021 |
| License Expiration Date | 1/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |