Individual
DR. LIEKE T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3 WOODLAND RD, S-411, STONEHAM, MA 02180-1702
(781) 979-0919
Mailing address
299 LEXINGTON ST, AUBURNDALE, MA 02466-1211
(978) 361-6964
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
2200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002200
TUFTS INDIVIDUAL
MA
01
—
334202
HARVARD PILGRIM HEALTHCAR
MA
01
—
720289
TUFTS GROUP
MA
01
—
7820474
AETNA
MA
01
—
P00036252
RR MEDICARE
MA
01
—
Y71106
BCBSMA
MA
01
—
Y77137
MEDICARE GROUP
MA
Enumeration date
07/13/2006
Last updated
07/09/2007
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