Individual
DR. CONNIE C LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M,D.,
Contact information
Practice address
29 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 791-8273
(239) 791-8256
Mailing address
29 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 791-8273
(239) 791-8256
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25153
FL
208100000X
Physical Medicine & Rehabilitation Physician
25MA03006100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME25153
MEDICAL LICENSE
FL
Enumeration date
06/30/2010
Last updated
02/08/2012
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