MEDICARE: DR. LEE A. MORROW D.D.S.

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	1223G0001X	General Practice Dentistry	16101	OH

General Provider Information

NPI Number	:	1780687780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE A. MORROW D.D.S.

Provider Business Mailing Address
First Line	:	414 PORTAGE TRL
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-3228
Country	:	US
Telephone Number	:	330-923-8111
Fax Number	:	330-923-2718

Provider Business Practice Location Address
First Line	:	414 PORTAGE TRL
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-3228
Country	:	US
Telephone Number	:	330-923-8111
Fax Number	:	330-923-2718

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/08/2007

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