Michael A Lee D.O.

NPI 1124020193 - Family Medicine - 207Q00000X

NPI Details
NPI 1124020193
Gender Male
Enumeration Date 08/10/2005
Last Updated 01/06/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
1004 N 19TH AVE
BLDG 2
DURANT OK, 74701-3016, US
Phone (580) 924-5622
Fax (580) 745-5060
Business Location
1004 N 19TH AVE
BLDG 2
DURANT OK, 74701-3016, US
Phone (580) 924-5622
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 2100
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According to our database, Dr. Michael A Lee D.O. NPI is 1124020193, taxonomy code is 207Q00000X and license number is 2100, license state is located at Oklahoma. Michael A Lee D.O. physically located at 1004 N 19th Ave, Durant OK, 74701-3016. NPI Number Michael A Lee D.O. has the Individual type.

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1124020193 NPI number is provided on an as is basis without warranty of any kind. 1124020193 is maintained by the National Plan & Provider Enumeration System. The contents of Michael A Lee D.O. are for informational purposes only.