Individual
DONNA SIRACUSE-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2005 BAY ST, SUITE 201, TAUNTON, MA 02780-1085
(508) 823-7473
(508) 824-3830
Mailing address
2005 BAY ST, SUITE 201, TAUNTON, MA 02780-1085
(508) 823-7473
(508) 824-3830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
231777
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002263
MEDICARE
MA
05
—
2144697
—
MA
01
—
AA103842
HARVARD PILGRIM
MA
01
—
J42615
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/07/2005
Last updated
04/15/2008
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