Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 018325 | ME |
NPI | 1023188703 |
---|---|
Provider Name | Dr. Norris K Lee |
First Address | Lewiston, ME 04240-7676 |
Second Address | Lewiston, ME 04240-7676 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 27/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
435255199 | (05) | ME |