Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 57134 | MA |
Y | 208600000X | Surgeon | 57134 | MA |
N | 2086S0102X | Surgical Critical Care | 57134 | MA |
NPI | 1316986318 |
---|---|
Provider Name | Patrick C Lee |
First Address | Springfield, MA 01199-1001 |
Second Address | Springfield, MA 01107-1270 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 15/11/2016 |