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Ivy Lee

Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).

NPI number1215536735
StatusActive
Last updated in NPPESFeb 17, 2021

Details

NPI
1215536735
Entity type
Individual (NPI-1)
Name
Ivy Lee
Sex
Female
Sole proprietor
No
Enumeration date
Oct 26, 2020
Certification date
Feb 17, 2021
Last updated
Feb 17, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

850 Harrison Ave Fl 6
Boston, MA 02118-4001

Phone 617-414-4561

Mailing address

850 Harrison Ave Fl 9
Boston, MA 02118-4001

Phone 617-414-4561

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Boston, MA

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