Provider Demographics
NPI:1588956387
Name:LEE-ANG, LORRAINE (MD)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:
Last Name:LEE-ANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TZYHAN
Other - Middle Name:LORRAINE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:315 NORWOOD PARK S
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4681
Mailing Address - Country:US
Mailing Address - Phone:857-307-3900
Mailing Address - Fax:
Practice Address - Street 1:315 NORWOOD PARK S
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4681
Practice Address - Country:US
Practice Address - Phone:857-307-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301098326207Q00000X
MA259383207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine