Lee, Vivian Y

Lee, Vivian Y is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Lee, Vivian Y can be contacted via phone (801) 507-6415.

Contact Information

Primary practice address
5121 S Cottonwood St Murray UT 84107-5701
Phone: (801) 507-6415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2007-0594 New Mexico
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD2007-0594 New Mexico
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD2007-0594 New Mexico
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 9148220-1205 Utah
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 9148220-1205 Utah

Profile Details

NPI number 1740201300
LBN Legal business name Lee, Vivian Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740201300 NPPES
New Mexico Other NM001R76 BCBS NM
New Mexico Other 202024178 BCBS NM
New Mexico MEDICAID 43724086 BCBS NM
New Mexico Other QMP000003399128 BCBS NM

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