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NPI Code Detail

MEDICARE: DAVIS JOON LEE

MEDICARE: DAVIS JOON LEE
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
1208D00000XGeneral Practice Physician34.017513OH

General Provider Information

NPI Number : 1912643826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVIS JOON LEE
Provider Business Mailing Address
First Line : 2555 UNIVERSITY DR STE 110
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6255
Country : US
Telephone Number : 937-775-8188
Fax Number :
Provider Business Practice Location Address
First Line : 2555 UNIVERSITY DR STE 110
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6255
Country : US
Telephone Number : 937-775-8188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2022
Last Update Date : 03/25/2026

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Directions to “ DAVIS JOON LEE ” Practice Location

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