Individual
DONNA SIRACUSE-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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