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Individual

MICHAEL M LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 921-6823
(702) 549-5240
Mailing address
3540 W SAHARA AVE, SUITE 330, LAS VEGAS, NV 89102-5816
(702) 921-6823
(702) 549-5240

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16457
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16457
MEDICAL LICENSE
NV
Enumeration date
05/22/2012
Last updated
06/28/2016
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