Individual
DR. LEE S PORTNOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 DUNLEITH DR, SAINT LOUIS, MO 63124-1895
(314) 705-0644
Mailing address
4 DUNLEITH DR, SAINT LOUIS, MO 63124-1895
(314) 705-0644
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
R9730
MO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
R9730
MO
207NS0135X
Procedural Dermatology Physician
R9730
MO
Other
Enumeration date
06/11/2005
Last updated
03/10/2026
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