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General NPI Number Information
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NPI Number | 1063640878
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Entity Type | Individual
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Provider Name | ESTHER LEE D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 8201 E RIVERSIDE BLVD
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City | ROCKFORD
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State | IL
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Zip | 61114-2300
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Country | US
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Telephone | 815-971-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 10373A REISTERSTOWN ROAD ATTN: CREDENTIALING DEPARTMENT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3617
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Country | US
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Telephone | 443-548-7595
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Fax | 410-356-4180
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | H0078797
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | R8595
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34.014833
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License Number State | OH
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