Provider Demographics
NPI:1538165618
Name:LEE, LYNA K (MD)
Entity type:Individual
Prefix:
First Name:LYNA
Middle Name:K
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4710 BELLAIRE BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4526
Mailing Address - Country:US
Mailing Address - Phone:713-661-1444
Mailing Address - Fax:713-661-6604
Practice Address - Street 1:4710 BELLAIRE BLVD
Practice Address - Street 2:STE 200
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4526
Practice Address - Country:US
Practice Address - Phone:713-661-1444
Practice Address - Fax:713-661-6604
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE6123207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106181401Medicaid
TX106181401Medicaid