Individual
FLORENCE LICHENG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 CLEVELAND ST, GREENVILLE, SC 29607-2440
(864) 263-3012
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.32120
AL
208000000X
Pediatrics Physician
32120
AL
208000000X
Pediatrics Physician
Primary
39396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161478
—
AL
05
—
161663
—
AL
01
—
511-53241
BCBS
AL
01
—
511-53967
BCBS
AL
05
—
PENDING
—
SC
Enumeration date
04/19/2011
Last updated
07/29/2016
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