# LEE MEMORIAL HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LCC Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740697978
- **Authorized official:** JAMES R NATHAN (CEO)
- **Authorized official phone:** (239) 343-6150

## Contact information

- **Practice address:** 4771 S CLEVELAND AVE, FORT MYERS, FL 33907-1317
- **Practice address phone:** (239) 343-9800
- **Practice address fax:** (239) 343-9848
- **Mailing address:** PO BOX 2147, FORT MYERS, FL 33902-2147
- **Mailing address phone:** (239) 424-1400
- **Mailing address fax:** (239) 424-1421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 07/21/2014