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Individual
DR. ELLEN LYMAN LEE
Active
Individual
DR. ELLEN LYMAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016522
ME
207Q00000X
Family Medicine Physician
70463
MA
207Q00000X
Family Medicine Physician
MD07436
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047645
ANTHEM
—
01
—
3569097
AETNA
—
05
—
406990099
—
ME
01
—
5536582
CIGNA
—
01
—
AA23786
HARVARD PILGRIM
—
01
—
P00139414
RAILROAD MEDICARE
—
Enumeration date
02/06/2006
Last updated
06/17/2015
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