Individual
TARYN Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-6300
Mailing address
10688 LORAIN AVE, CLEVELAND, OH 44111-5411
(216) 682-7703
(216) 236-7768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220930
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
220930
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35-097785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051614
—
OH
Enumeration date
10/16/2006
Last updated
12/19/2020
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