Individual
LEE JAMES KLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39408
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1326349135
CMH SB NPI
WI
01
—
1467583096
CMH PCC OF NPI
WI
01
—
1851477913
NPI CMH
WI
01
—
390848401050
ANTHEM
WI
01
—
39408-20
STATE LICENSE
WI
Enumeration date
12/06/2005
Last updated
10/11/2012
Update your record
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