Individual
AVA M. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
56 EAST AVE, AUSTIN, TX 78701-4323
(512) 472-4357
(512) 703-1394
Mailing address
PO BOX 3548, AUSTIN, TX 78764-3548
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J2151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102450702
—
TX
Enumeration date
08/23/2006
Last updated
12/13/2010
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