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Individual
DR. NOAH LEE
Active
Individual
DR. NOAH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS9305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138015
GHI
FL
01
—
19148
EVOLUTIONS
FL
05
—
278849700
—
FL
01
—
305302
AVMED
FL
01
—
59005
BCBS
FL
01
—
7226862
AETNA
FL
01
—
7994899
CIGNA
—
01
—
S093051
PREFERRED
FL
Enumeration date
07/14/2006
Last updated
08/11/2015
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