Individual
DR. YI SHIUAN JUDY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
2169 JOLLY RD, UNIT 2, OKEMOS, MI 48864-3992
(517) 347-8228
(517) 347-8287
Mailing address
2169 JOLLY RD, UNIT 2, OKEMOS, MI 48864-3992
(517) 347-8228
(517) 347-8287
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301066320
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301066320
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008690
CAPE HEALTH PLAN
—
01
—
0503302562
BC
MI
01
—
122833
CARE CHOICES
MI
01
—
2000053
PHP
—
01
—
2692375
CIGNA
—
01
—
7823128
AETNA
—
01
—
M0171703
TRICARE PGBA
—
01
—
P00055007
RAILROAD MEDICARE
—
Enumeration date
12/12/2006
Last updated
08/31/2011
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