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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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