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Individual

DAVID C LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1314 E 7TH ST, SUITE 203, AUBURN, IN 46706-2535
(260) 927-8105
(260) 927-8026
Mailing address
PO BOX 623, AUBURN, IN 46706-0623
(260) 927-8105
(260) 927-8026

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
36-048308
IL
207Y00000X
Otolaryngology Physician
Primary
01039322A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036048308
IL
01
216-07247
BCBS
IL
Enumeration date
06/27/2006
Last updated
08/29/2013
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