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General NPI Number Information
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NPI Number | 1114089810
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Entity Type | Individual
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Provider Name | LEE ALAN COLEMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 10/15/2011
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Provider Practice Location Address
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Address Line | 7400 NEW LA GRANGE RD SUITE 301
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City | LOUISVILLE
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State | KY
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Zip | 40222-4870
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Country | US
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Telephone | 502-425-3815
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Fax | 502-425-3786
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Provider Business Mailing Address
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Address Line | 7400 NEW LAGRANGE RD. SUITE 301
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City | LOUISVILLE
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State | KY
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Zip | 40222-4870
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Country | US
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Telephone | 502-425-3815
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Fax | 502-425-3741
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 17833
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License Number State | KY
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