Doctor Name: | NAM LEE |
NPI Number: | 1043348683 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0101058452 |
Business Practice Address: | 1 Oak Grove Ave 132 Melrose, MA - 021766121 |
Business Phone Number: | 7816201810 |
Business Fax Number: | |
Mailing Address: | 1 Oak Grove Ave, 132 MELROSE |
State: | MA |
Postal Code: | 021766121 |
Phone Number: | 7816201810 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 0101058452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |