Lee S. Portnoff, M.d., P.c.

NPI 1003025560 - Dermatology - 207N00000X

NPI Details
NPI 1003025560
Enumeration Date 05/22/2007
Last Updated 09/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEE S LEE
Position PRESIDENT
Phone (314) 993-2909
Fax
Practice Location
3009 N BALLAS RD
STE 235A
SAINT LOUIS MO, 63131-2308, US
Phone (314) 993-2909
Fax
Business Location
3009 N BALLAS RD
STE 235A
SAINT LOUIS MO, 63131-2308, US
Phone (314) 993-2909
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Missouri
License Number R9730
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According to our database, Lee S. Portnoff, M.d., P.c. NPI is 1003025560, taxonomy code is 207N00000X and license number is R9730, license state is located at Missouri. Lee S. Portnoff, M.d., P.c. physically located at 3009 N Ballas Rd, Saint Louis MO, 63131-2308. NPI Number 1033115704 has the healthcare provider type.

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1003025560 NPI number is provided on an as is basis without warranty of any kind. 1003025560 is maintained by the National Plan & Provider Enumeration System. The contents of Lee S. Portnoff, M.d., P.c. are for informational purposes only.