| Doctor Name: | ELLEN DIANA KLEE |
| NPI Number: | 1013206572 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN265967 |
| Business Practice Address: | 170 Governors Ave Lawrence Memorial Hospital-diabetes Center Medford, MA - 021551643 |
| Business Phone Number: | 7813066370 |
| Business Fax Number: | 7813066375 |
| Mailing Address: | 170 Governors Ave, Lawrence Memorial Hospital-diabetes Center MEDFORD |
| State: | MA |
| Postal Code: | 021551643 |
| Phone Number: | 7813066370 |
| Fax Number: | 7813066375 |
| NPI Enumeration Date: | 04/05/2011 |
| NPI Last Update Date: | 04/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN265967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |