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Individual

LEE ALLEN MADELINE

Active
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Individual

LEE ALLEN MADELINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
20075
SC
2085R0202X
Diagnostic Radiology Physician
20075
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200758
SC
01
P00821918
RAILROAD MEDICARE
SC
Enumeration date
01/31/2006
Last updated
12/07/2022
About Stedi
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  • EDI platform