Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 200900043 | NC |
N | 111NI0900X | Internist | 200900043 | NC |
N | 207RH0002X | Hospice and Palliative Medicine | 46707 | TN |
N | 207RH0002X | Hospice and Palliative Medicine | DR.0053410 | CO |
Y | 207RH0002X | Hospice and Palliative Medicine | Q8542 | TX |
NPI | 1033376942 |
---|---|
Provider Name | Jeanne Lee |
First Address | El Paso, TX 79902-2906 |
Second Address | El Paso, TX 79902-2906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 19/12/2019 |