Doctor Name: | LAWRENCE LEE |
NPI Number: | 1154783728 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD PHD |
License Number: | |
Business Practice Address: | 2501 N Orange Ave Suite 235 Box 38 Orlando, FL - 328044603 |
Business Phone Number: | 4073035947 |
Business Fax Number: | 4073037323 |
Mailing Address: | 2501 N Orange Ave, Suite 235 Box 38 ORLANDO |
State: | FL |
Postal Code: | 328044603 |
Phone Number: | 4073035947 |
Fax Number: | 4073037323 |
NPI Enumeration Date: | 03/23/2016 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |