| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DIANE LEE | 1710735352 | 2024-05-12 |
Diane Lee is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710735352. Registration indicates Diane Lee is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Diane Lee MD |
| Practice Office Address | 1500 E MEDICAL CENTER DRIVE, SPC 5312 TAUBMAN CENTER, 1ST FLOOR, ROOM 1903 ANN ARBOR, MI US |
| Practice Office Telephone | 7349369625 |
| Practice Office Fax | 7349369625 |
| Mailing Address | 1500 E MEDICAL CENTER DR 1903 TAUBMAN CENTER, SPC 5312 ANN ARBOR, MI 481095312 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 4351052277
MI |