Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 51514 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | TP696 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | WV 18125 | WV |
NPI | 1033172077 |
---|---|
Provider Name | Marciano B Lee |
First Address | Lexington, KY 40536-0293 |
Second Address | Lexington, KY 40536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 16/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0086281000 | (05) | WV |
E88023 | (02) | WV |