Individual
LAN NA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
STONYBROOK UNIVERSITY MEDICAL CTR, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, STONY BROOK, NY 11794-0001
(631) 444-4686
Mailing address
30 PIEDMONT DR, APT 15, PORT JEFFERSON STATION, NY 11776-1117
(917) 992-2051
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
257558
NY
207VG0400X
Gynecology Physician
A 117279
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2008
Last updated
05/17/2013
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