Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | A156461 | CA |
NPI | 1144583733 |
---|---|
Provider Name | Dr. Lisa Xingguang Lee |
First Address | Orange, CA 92868 |
Second Address | Orange, CA 92868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 29/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
262400 | COMMONWEALTH MASSACHUSETTS (01) | MA |