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General NPI Number Information
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NPI Number | 1033172077
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Entity Type | Individual
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Provider Name | MARCIANO B LEE MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | UNIVERSITY OF KENTUCKY 900 S LIMESTONE CTW 326
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City | LEXINGTON
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State | KY
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Zip | 40536
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Country | US
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Telephone | 859-323-8040
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Fax | 859-323-0295
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF KENTUCKY 900 S LIMESTONE CTW 326
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City | LEXINGTON
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State | KY
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Zip | 40536-0293
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Country | US
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Telephone | 859-323-8040
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Fax | 859-323-0295
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | TP696
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | WV 18125
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 51514
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License Number State | KY
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