| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELIZABETH AVERY LEE | 1548881998 | 2020-06-28 |
Elizabeth Avery Lee is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548881998. Registration indicates Elizabeth Avery Lee is a provider of services with a specialization in Emergency Medicine (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Elizabeth Avery Lee MD |
| Practice Office Address | 455 TOLL GATE RD WARWICK, RI US |
| Practice Office Telephone | 4017377010 |
| Mailing Address | 455 TOLL GATE RD WARWICK, RI 028862759 US |
| Code | Practice | License No State |
|---|---|---|
| 207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | LP05055
RI |