Gordon Eliot Lee in Santa Cruz - Gastroenterology
Gordon Eliot Lee - NPI 1124100367
Gordon Eliot Lee is a Gastroenterology in Santa Cruz, California. Gordon Eliot Lee practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Gordon Eliot Lee is 1124100367. The last update date is 2012-01-24.
Gordon Eliot Lee's current location address is 1505 Soquel Drive, Santa Cruz, California. You can contact this provider via phone number 8314764230 and fax number 8314760571. The mailing address for Gordon Eliot Lee is 1505 Soquel Drive, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Eliot Lee |
|---|---|
| Address | 1505 Soquel Drive, Santa Cruz, California |
| Phone Number | 8314764230 |
| Fax Number | 8314760571 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124100367 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2012-01-24 |
Provider Mailing Address Detail
| Address | 1505 Soquel Drive |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950651716 |
| Phone Number | 8314764230 |
| Fax Number | 8314760571 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | G29794 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4087118 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gordon Eliot Lee by the Centers for Medicare & Medicaid Services?
The Gordon Eliot Lee has been assigned the NPI (National Provider Identifier) 1124100367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Gordon Eliot Lee's physical address?
The Gordon Eliot Lee is physically located at 1505 Soquel Drive, in the city of Santa Cruz, CA, with the postal code 950651716.
What is Gordon Eliot Lee's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gordon Eliot Lee's specialized field of practice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0100X.
On what date was the 1124100367 assigned to Gordon Eliot Lee?
The Gordon Eliot Lee was issued its 1124100367 on 2006-10-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gordon Eliot Lee's details last updated?
The information pertaining to the Gordon Eliot Lee, including its address, specialty, and other details, was most recently updated on 2012-01-24.