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NPI Code Detail

MEDICARE: DR. TINA XIANG LEE M.D.

MEDICARE: DR. TINA XIANG 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 Physician62301AZ
2207Q00000XFamily Medicine Physician35-120250OH

General Provider Information

NPI Number : 1982924619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TINA XIANG LEE M.D.
Provider Business Mailing Address
First Line : 4045 E BELL RD
Second Line : STE 134
City : PHOENIX
State : AZ
Zip : 85032-2234
Country : US
Telephone Number : 614-702-7899
Fax Number :
Provider Business Practice Location Address
First Line : 2260 MORSE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-5858
Country : US
Telephone Number : 614-702-7899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2010
Last Update Date : 03/10/2021

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Directions to “ DR. TINA XIANG LEE M.D.” Practice Location

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