MEDICARE: LEE T FLEMING DPM

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	213ES0131X	Foot Surgery Podiatrist	00000656	CO

General Provider Information

NPI Number	:	1124060488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE T FLEMING DPM

Provider Business Mailing Address
First Line	:	5757 REVELSTOKE DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-2025
Country	:	US
Telephone Number	:	719-574-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 KELLY JOHNSON BLVD STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3959
Country	:	US
Telephone Number	:	719-574-9800
Fax Number	:	719-574-9749

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	09/29/2020

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