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General NPI Number Information
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NPI Number | 1871819417
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Entity Type | Individual
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Provider Name | LUNG-YI LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 550 S BERETANIA ST STE 403
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City | HONOLULU
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State | HI
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Zip | 96813-2496
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Country | US
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Telephone | 808-523-5033
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Fax |
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Provider Business Mailing Address
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Address Line | 300 PASTEUR DR
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City | STANFORD
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State | CA
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Zip | 94305-2200
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Country | US
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Telephone |
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 56852-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A147798
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License Number State | CA
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