Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1881145266 |
---|---|
Provider Name | Dr. Hane Lee |
First Address | Los Angeles, CA 90095-8348 |
Second Address | Los Angeles, CA 90095-1732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2016 |
Last Update Date | 20/10/2016 |