Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036-143939 | IL |
N | 208600000X | Surgeon | 036-143939 | IL |
Y | 208200000X | Surgeon | 53381 | AZ |
Y | 208600000X | Surgeon | 53381 | AZ |
N | 208200000X | Surgeon | ME96759 | FL |
N | 208600000X | Surgeon | ME96759 | FL |
N | 2086S0102X | Surgical Critical Care | 036-143939 | IL |
N | 2086S0102X | Surgical Critical Care | 269064 | MA |
N | 2086S0127X | Trauma Surgeon | 036143939 | IL |
NPI | 1255431128 |
---|---|
Provider Name | Joanne May Lee |
First Address | Chandler, AZ 85224-5604 |
Second Address | Chandler, AZ 85224-5604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 30/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1255431128 | UHC (01) | FL |
1497748743 | GROUP NPI NUMBER / LRHSI (01) | FL |
15914301 | CITRUS HEALTHCARE (01) | FL |
277446100 | (05) | FL |
322558 | AVMED (01) | FL |
472664 | WELLCARE /STAYWELL/ HEALTHEASE (01) | FL |
58203 | BCBS OF FLORIDA (01) | FL |
6865839 | CIGNA (01) | FL |
9183233 | AETNA (01) | FL |
DA5786 | RAILROAD MEDICARE GROUP # (01) | FL |