Provider Demographics
NPI:1699065326
Name:LEE, CAROLINE Y (MD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:Y
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 636256
Mailing Address - Street 2:CENTRAL CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-585-5504
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:231 ALBERT SABIN WAY
Practice Address - Street 2:ML 0557
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-0557
Practice Address - Country:US
Practice Address - Phone:513-475-6333
Practice Address - Fax:513-476-6399
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-124072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine