Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25018 | NE |
NPI | 1225002363 |
---|---|
Provider Name | Maureen Patrice Malee |
First Address | Lincoln, NE 68506 |
Second Address | Lincoln, NE 68506-1276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 18/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036071208 | (05) | IL |
A53712 | (02) |