Kachiu C Lee (NPI# 1992025381, PAC ID# 9436373172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1992025381 |
| PAC ID by PECOS | 9436373172 |
| Professional Enrollment ID | I20150610000055 |
| Full Name | Kachiu C Lee |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Address |
950 Warren Ave Suite 302 East Providence RI 02914-1432 |
| Phone Number | 4016063000 |
| Gender | F |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 584 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Warren Ave, Suite 302, East Providence, RI 02914-1432 | 4016063000 | LIFESPAN PHYSICIAN GROUP, INC. |
| 593 Eddy St, Apc 10, Providence, RI 02903-4923 | 4014447959 | BROWN DERMATOLOGY INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Levick | Cardiovascular Disease (cardiology) | Lifespan Physician Group, Inc. | 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 |
| John A Day Jr. | Pulmonary Disease | Lifespan Physician Group, Inc. | 19 Friendship, Providence, RI 02903-3913 |
| Terri L Chalker | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Adriana M Hosu | Internal Medicine | Lifespan Physician Group, Inc. | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Andrea C Sartori | Clinical Psychologist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Damien Paul Hebert | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 17 Seekonk St, Providence, RI 02906-5125 |
| Rebecca Leigh Jackson | Nurse Practitioner | Lifespan Physician Group, Inc. | 185 High Service Ave, North Providence, RI 02904-5114 |
| Jennifer T Dibello | Registered Dietitian Or Nutrition Professional | Lifespan Physician Group, Inc. | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Kristin Beauregard | Nurse Practitioner | Lifespan Physician Group, Inc. | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Lynn C Schultz | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Street Address |
950 WARREN AVE SUITE 302 |
| City | EAST PROVIDENCE |
| State | RI |
| Zip | 02914-1432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Bonin | Nurse Practitioner | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Kalina M Brabeck | Psychologist, Clinical | Lifespan Physician Group Inc | 950 Warren Ave, Suite 104, East Providence, RI 02914-1432 |
| Steven Lampert | Cardiovascular Disease (cardiology) | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Sherrye L Durante | Nurse Practitioner | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Shannon Simmons | Gastroenterology | Lifespan Physician Group Inc | 950 Warren Ave, Suite 302, East Providence, RI 02914-1432 |
| Eunice H Wharton | Clinical Social Worker | Lifespan Physician Group Inc | 950 Warren Ave, Suite 104, East Providence, RI 02914-1432 |
| Aaron M Drucker | Dermatology | Lifespan Physician Group, Inc. | 950 Warren Ave, East Providence, RI 02914-1432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Geist | Diagnostic Radiology | Rhode Island Medical Imaging | 20 Catamore Blvd, E Providence, RI 02914-1204 |
| Miranda R Wing | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Elisabeth M Butler | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Donna Zaken | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Judith S Bessoff | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Marta E Rosol | Clinical Social Worker | 1018 Waterman Ave, East Providence, RI 02914-1318 | |
| Constantine Vafidis | Family Medicine | Primary Medical Center and Walk-in LLC | 684 Warren Ave, East Providence, RI 02914-1405 |
| Martha Ragsdale | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Sterling Saint | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Jacqueline Finn | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Find all physicians in zip 02914 | |||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
| Specialty | DERMATOLOGY |
| City + Specialty | EAST PROVIDENCE + DERMATOLOGY |
Please comment or provide details below to improve the information on Kachiu C Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.