Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 255421 | MA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | D74304 | MD |
NPI | 1366618464 |
---|---|
Provider Name | Linda Nancy Lee |
First Address | Wellesley, MA 02481-5420 |
Second Address | Wellesley, MA 02481-5420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2008 |
Last Update Date | 19/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
055833800 | (05) | MD |