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NPI Code Detail

MEDICARE: AMY L LEE M.D.

MEDICARE: AMY L LEE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician224073MA

General Provider Information

NPI Number : 1952369878
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY L LEE M.D.
Provider Business Mailing Address
First Line : 36 VOSE HILL RD
Second Line :
City : WESTFORD
State : MA
Zip : 01886-4535
Country : US
Telephone Number : 978-692-1222
Fax Number : 978-692-1322
Provider Business Practice Location Address
First Line : 506 GROTON RD
Second Line :
City : WESTFORD
State : MA
Zip : 01886-6326
Country : US
Telephone Number : 978-692-1222
Fax Number : 978-692-1322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 01/31/2013

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