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Individual
KEAGAN LEE
Active
Individual
KEAGAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
242403
NY
207ZD0900X
Dermatopathology (Pathology) Physician
D71270
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
242403-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D71270
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
P0622
TX
Other
Enumeration date
06/05/2008
Last updated
11/10/2020
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