MEDICARE: DR. ROBERT JENSEN LEE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	M7277	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710985551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JENSEN LEE M.D.

Provider Business Mailing Address
First Line	:	400 S 15TH ST
Second Line	:
City	:	WORLAND
State	:	WY
Zip	:	82401
Country	:	US
Telephone Number	:	307-347-5810
Fax Number	:	307-347-5808

Provider Business Practice Location Address
First Line	:	400 S 15TH ST
Second Line	:
City	:	WORLAND
State	:	WY
Zip	:	82401
Country	:	US
Telephone Number	:	307-347-5810
Fax Number	:	307-347-5808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	09/09/2022

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