Dr. Ivan Lee
MD | Pediatric Allergy-Immunology | Male
Dr. Ivan Lee, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. Ivan Lee is
300 Longwood Ave, Boston, Massachusetts - 02115-5737. He can be contacted on phone at
617-355-6000.
Dr. Ivan Lee is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Ivan Lee is
1255719597 which was assigned by NPPES on 07 May, 2015 and it was last updated on 21 Jul, 2022.
Dr. Ivan Lee license number is
290327 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Massachusetts.
Dr. Ivan Lee specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. Ivan Lee basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
|---|
| Provider Name : | Dr. Ivan Lee |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Ivan Lee address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Longwood Ave
Boston, MA, 02115-5737
United States |
|---|
| Phone Number : | 617-355-6000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1255719597 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 07 May, 2015 |
|---|
| Last Updated On : | 21 Jul, 2022 |
|---|
Medicare Participation:
Dr. Ivan Lee participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5092136473 |
|---|
| Medicare Enrollment ID : | I20211105000547 |
|---|
| Primary Specialty : | Allergy/immunology |
|---|
| Medical School : | University Of Texas Southwestern Medical School At Dallas |
|---|
| Graduation Year : | 2015 |
|---|
| Accepts Medicare? | Yes. Dr. Ivan Lee accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Ivan Lee is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Ivan Lee is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Boston Food Allergy Center Llc Bi Network | 6901228352 | 2 | 65 Harrison Ave
Suite 201
Boston, MA - 021111924
Ph: 6178046767 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ivan Lee are as mentioned. Primary taxonomy code for Dr. Ivan Lee, MD is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207RA0201X | Internal Medicine Allergy & Immunology | No | A143768 | CA |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | 290327 | MA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Nassau Street Unit 1906
Boston, MA, 02111-1587
United States |
|---|
| Phone Number : | 832-930-8890 |
|---|
| Fax Number : | 713-929-3526 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Ivan Lee practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.