Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101056200 | VA |
Y | 2080P0214X | Pediatric Pulmonologist | 0101056200 | VA |
NPI | 1659345510 |
---|---|
Provider Name | Dr. Rees Livingston Lee II |
First Address | Wright Patterson Afb, OH 45433-7955 |
Second Address | Wright Patterson Afb, OH 45433-5529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 07/02/2015 |