| NPI | 1740265990 |
|---|---|
| Former Name | LAUREN T BONNER LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0432013) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 9817) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2015-05-26 |