MEDICARE: DR. ROBERT HAYES LEE D.P.M.

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	213E00000X	Podiatrist	188	OK

General Provider Information

NPI Number	:	1114941820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT HAYES LEE D.P.M.

Provider Business Mailing Address
First Line	:	3315 E 47TH PL
Second Line	:	SUITE 102
City	:	TULSA
State	:	OK
Zip	:	74135-2914
Country	:	US
Telephone Number	:	918-749-4484
Fax Number	:	918-749-2350

Provider Business Practice Location Address
First Line	:	3315 E 47TH PL
Second Line	:	SUITE 102
City	:	TULSA
State	:	OK
Zip	:	74135-2914
Country	:	US
Telephone Number	:	918-749-4484
Fax Number	:	918-749-2350

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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