Individual
DR. LEE CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
814 S WASHINGTON AVE, TITUSVILLE, FL 32780-2406
(321) 567-6300
(321) 567-6320
Mailing address
P O BOX 1123, 255 WEST MICHIGAN AVENUE, JACKSON, MI 49204-1123
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME56993
FL
Other
Enumeration date
10/25/2006
Last updated
12/09/2010
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