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Individual

DR. LEE EDWARD FIRESTONE

Active
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Individual

DR. LEE EDWARD FIRESTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1204
MD
213E00000X
Podiatrist
Primary
P0546
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027420300
DC
05
0797367 00
MD
05
079736701
MD
Enumeration date
07/20/2005
Last updated
05/26/2025
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