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Individual
DR. SAMUEL THEODORE LEE
Active
Individual
DR. SAMUEL THEODORE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.061701
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
22495
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100203539
—
WI
Enumeration date
07/11/2012
Last updated
06/13/2025
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