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Individual
LEE ADAM BALAKLAW
Active
Individual
LEE ADAM BALAKLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29892
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
042-0008748
VT
207LP2900X
Pain Medicine (Anesthesiology) Physician
29892
KY
Other
Enumeration date
08/31/2005
Last updated
03/13/2013
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