Edward K Lee DO

NPI 1013930577 - Radiology - 2085R0001X

NPI Details
NPI 1013930577
Gender Male
Enumeration Date 07/25/2006
Last Updated 10/30/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1840 WEALTHY ST SE
EAST GRAND RAPIDS MI, 49506-2921, US
Phone (616) 774-7845
Fax (616) 774-5146
Business Location
100 MICHIGAN ST NE
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 391-1830
Fax (616) 391-1286
Toxanomy
Taxonomy Code 2085R0001X
License State Michigan
License Number 5101007580
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According to our database, Edward K Lee DO NPI is 1013930577, taxonomy code is 2085R0001X and license number is 5101007580, license state is located at Michigan. Edward K Lee DO physically located at 1840 Wealthy St Se, East Grand Rapids MI, 49506-2921. NPI Number Edward K Lee DO has the Individual type.

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1013930577 NPI number is provided on an as is basis without warranty of any kind. 1013930577 is maintained by the National Plan & Provider Enumeration System. The contents of Edward K Lee DO are for informational purposes only.