Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 028740 | NY |
N | 225100000X | Physical Therapist | 2826 | HI |
Y | 225100000X | Physical Therapist | 40QA01302100 | NJ |
NPI | 1003095894 |
---|---|
Provider Name | Lauren D Lee |
First Address | Freehold, NJ 07728-7943 |
Second Address | Freehold, NJ 07728-7943 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2007 |
Last Update Date | 29/01/2009 |