Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD19073 | OR |
NPI | 1093707069 |
---|---|
Provider Name | Dr. Lee C Harker |
First Address | Central Point, OR 97502-1573 |
Second Address | Medford, OR 97504-8332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 30/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
072558 | (05) | OR |
F32537 | (02) | OR |