Individual
MARY A LIM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6746 DICK FLYNN BLVD, GOSHEN, OH 45122-8609
(513) 722-2603
(513) 722-3423
Mailing address
6746 DICK FLYNN BLVD, P.O. BOX 500, GOSHEN, OH 45122-8609
(513) 722-2603
(513) 722-3423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35041350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344041
—
OH
Enumeration date
01/25/2006
Last updated
01/22/2015
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