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General NPI Number Information
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NPI Number | 1083641849
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Entity Type | Individual
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Provider Name | DAVID C LEE MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 1314 E 7TH ST SUITE 203
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City | AUBURN
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State | IN
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Zip | 46706-2535
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Country | US
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Telephone | 260-927-8105
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Fax | 260-927-8026
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Provider Business Mailing Address
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Address Line | PO BOX 623
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City | AUBURN
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State | IN
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Zip | 46706-0623
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Country | US
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Telephone | 260-927-8105
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Fax | 260-927-8026
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 36-048308
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01039322A
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License Number State | IN
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