Individual
GRACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, FERTILITY AND REPRODUCTIVE ENDOCRINOLOGY, BOSTON, MA 02215-3904
(617) 421-1191
(617) 421-5828
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
225323
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035994
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0991522
CIGNA
MA
05
—
2106469
—
MA
01
—
470422
TUFTS HEALTH PLAN
MA
01
—
AA39640
HARVARD PILGRIM
MA
01
—
J29084
BLUE CROSS
MA
Enumeration date
11/13/2006
Last updated
06/15/2011
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