Individual
MR. DAVID W LEE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
624 CONNELL PARK LN, BATON ROUGE, LA 70806-6534
(225) 300-4850
Mailing address
624 CONNELL PARK LN, BATON ROUGE, LA 70806-6534
(225) 300-7850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4103
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050569
—
LA
Enumeration date
11/19/2018
Last updated
11/19/2018
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