MEDICARE: DR. LORIN LESLIE LEE MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	01025655	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053310102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORIN LESLIE LEE MD

Provider Business Mailing Address
First Line	:	8920 SOUTHPOINTE DR STE C3
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-7505
Country	:	US
Telephone Number	:	317-865-6252
Fax Number	:	317-885-5020

Provider Business Practice Location Address
First Line	:	8920 SOUTHPOINTE DR STE C3
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-7505
Country	:	US
Telephone Number	:	317-865-6252
Fax Number	:	317-885-5020

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	06/02/2009

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