Individual
JOHN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY STREET, DEPARTMENT OF RADIOLOGY, PROVIDENCE, RI 02903
(919) 610-9448
Mailing address
593 EDDY ST DEPT OF, PROVIDENCE, RI 02903-4923
(919) 610-9448
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
270807
MA
2085R0202X
Diagnostic Radiology Physician
MD17642
RI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD17642
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291819
MA LICENSE
MA
01
—
MD17642
RI LICENSE
RI
Enumeration date
06/20/2016
Last updated
04/27/2026
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