Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | 25MA08717000 | NJ |
NPI | 1396940334 |
---|---|
Provider Name | Dr. Kristyna Lee |
First Address | Morristown, NJ 07960-5350 |
Second Address | Morristown, NJ 07960-5377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 26/04/2016 |