Healthcare Provider Details

I. General information

NPI: 1417944380
Provider Name (Legal Business Name): STEVEN E. LEE, MD, APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 02/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59355 RIVER WEST DR
PLAQUEMINE LA
70764-6553
US

IV. Provider business mailing address

PO BOX 710471 LOCKBOX # 715095
COLUMBUS OH
43271-0001
US

V. Phone/Fax

Practice location:
  • Phone: 337-261-5151
  • Fax:
Mailing address:
  • Phone: 337-261-5151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN E. LEE
Title or Position: MD/OWNER
Credential: MD
Phone: 337-261-5151