Individual
MR. DOUGLAS LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN093053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LE8201591
—
OH
Enumeration date
11/22/2005
Last updated
07/08/2007
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