Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | A63819 | CA |
NPI | 1689614992 |
---|---|
Provider Name | Dr. Shu May Lee |
First Address | Daly City, CA 94015-2228 |
Second Address | Daly City, CA 94015-2228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A638190 | (05) | CA |
H99315 | (02) | CA |