Healthcare Provider Details

I. General information

NPI: 1700388006
Provider Name (Legal Business Name): SUSAN LEE NORRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WORLD HEALTH ORGANIZATION AVENUE APPIA 20
GENEVA GE
01220
CH

IV. Provider business mailing address

ROUTE DE PREGNY 39
CHAMBESY GE
01292
CH

V. Phone/Fax

Practice location:
  • Phone: 301-699-9183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00025418
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: