Provider Demographics
NPI:1518120674
Name:LEE, MARGARET SO HE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:SO HE
Last Name:LEE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:SO HE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:FEGAN 6
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-6117
Mailing Address - Fax:617-730-0308
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:FEGAN 6
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-6117
Practice Address - Fax:617-730-0308
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222271207NP0225X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology