Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101253696 | VA |
N | 207YS0123X | Facial Plastic Surgeon | 0101253696 | VA |
NPI | 1639332752 |
---|---|
Provider Name | Dr. Thomas S. Lee |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 02/08/2013 |