Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT199155 | PA |
N | 111NI0900X | Internist | MT199155 | PA |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD60791787 | WA |
NPI | 1831485325 |
---|---|
Provider Name | Dr. Esther Lee |
First Address | Philadelphia, PA 19102-1041 |
Second Address | Seattle, WA 98112-5226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2011 |
Last Update Date | 26/04/2021 |