Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | D0024844 | MD |
NPI | 1114273844 |
---|---|
Provider Name | Kum Hai Lee |
First Address | Rockville, MD 20850-2033 |
Second Address | Rockville, MD 20850-2033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2012 |
Last Update Date | 31/07/2012 |