Organization
NINAK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN LEE M.D., (FAMILY PRACTICE)
(307) 203-9239
Entity
Organization
Contact information
Practice address
170 E BROADWAY, JACKSON, WY 82001-9906
(307) 203-9239
Mailing address
23371 MULHOLLAND DR, STE 327, WOODLAND HILLS, CA 91364-2734
(307) 203-9239
(877) 332-9683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6084A
WY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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