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Individual

SUZY LEE

Active
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Individual

SUZY LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME76644
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
ME76644
FL
207NP0225X
Pediatric Dermatology Physician
ME76644
FL
207NS0135X
Procedural Dermatology Physician
ME76644
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002UE
BCBS GROUP
FL
01
44836
BCBS FL
FL
01
45-4144852
TAX ID
FL
01
DT0473
RAILROAD MEDICARE GROUP
FL
01
E1541Y
MEDICARE INDIVIDUAL
FL
01
FY111A
MEDICARE GROUP
FL
01
P01091011
RAILROAD MEDICARE INDIVIDUAL
FL
Enumeration date
06/22/2005
Last updated
01/16/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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