NPI 1053058073

Grace Lee, MD

Practitioner Obstetrics & Gynecology Physician Urbana, IL

Practice location

Address: 611 W Park St, Urbana, IL 61801-2529
Phone: (615) 290-6597
Mailing address: 1630 Camellia Ln, Redlands, CA 92374-1410

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 125.083042 (IL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053058073
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2022
Record last updated: 14 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.