Individual
GRACE Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 MASSACHUSETTS AVE, BOSTON, MA 02118-2605
(617) 414-5951
(617) 414-9251
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1026194
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110202950A
—
MA
Enumeration date
03/20/2023
Last updated
04/14/2026
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