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General NPI Number Information
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NPI Number | 1891724472
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Entity Type | Individual
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Provider Name | GARRETT B. LEE
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 2000 BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538-5006
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Country | US
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Telephone | 970-635-4071
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Fax | 970-820-4177
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Provider Business Mailing Address
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Address Line | 2000 BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538-5006
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Country | US
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Telephone | 970-635-4071
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Fax | 970-820-4177
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G78487
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 49745
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DR.0049745
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License Number State | CO
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