Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 4301099887 | MI |
N | 207W00000X | Ophthalmologist | 97-01804 | NC |
NPI | 1003991332 |
---|---|
Provider Name | Paul P Lee |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48105-1912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 19/01/2012 |