Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 43740 | CO |
NPI | 1033194733 |
---|---|
Provider Name | Dr. William P Lee |
First Address | Denver, CO 80230-6440 |
Second Address | Denver, CO 80218-1216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 04/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11638036 | (05) | CO |
I49284 | (02) | CO |