MEDICARE: WEI H LEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	208600000X	Surgery Physician	IN
2	2086S0129X	Vascular Surgery Physician	IN
3	208C00000X	Colon & Rectal Surgery Physician	IN

General Provider Information

NPI Number	:	1013967033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEI H LEE MD

Provider Business Mailing Address
First Line	:	1125 E WALNUT ST
Second Line	:	P O BOX 589
City	:	BOONVILLE
State	:	IN
Zip	:	47601-2451
Country	:	US
Telephone Number	:	812-897-3506
Fax Number	:	812-897-3507

Provider Business Practice Location Address
First Line	:	1125 E WALNUT ST
Second Line	:
City	:	BOONVILLE
State	:	IN
Zip	:	47601-2451
Country	:	US
Telephone Number	:	812-897-3506
Fax Number	:	812-897-3507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	09/11/2025

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Directions to “ WEI H LEE MD” Practice Location

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