Healthcare Provider Details

I. General information

NPI: 1124060488
Provider Name (Legal Business Name): LEE T FLEMING DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 KELLY JOHNSON BLVD STE 310
COLORADO SPRINGS CO
80920-3959
US

IV. Provider business mailing address

5757 REVELSTOKE DR
COLORADO SPRINGS CO
80924-2025
US

V. Phone/Fax

Practice location:
  • Phone: 719-574-9800
  • Fax: 719-574-9749
Mailing address:
  • Phone: 719-574-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number00000656
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: