Individual
KATHERINE BO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10101 LAGRIMA DE ORO NE, CANYON TRANSITIONAL HEALTHCARE & REHAB, ALBUQUERQUE, NM 87111
(505) 858-1222
(818) 861-3324
Mailing address
5870 N HIATUS RD., STE. 200, TEAMHEALTH PROVIDER ENROLLMENT, TAMARAC, FL 33321-6424
(505) 858-1222
(818) 861-3324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261221
MA
207R00000X
Internal Medicine Physician
35065385L
OH
207R00000X
Internal Medicine Physician
Primary
MD2015-0912
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959833
—
OH
Enumeration date
10/03/2006
Last updated
07/03/2018
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