Individual
DR. WALTER KOREA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9139 RIDGELINE BLVD, HIGHLANDS RANCH, CO 80129-2333
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DR.0052094
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028912
KAISER COMMERCIAL NUMBER
CO
05
—
24273741
—
CO
Enumeration date
04/08/2010
Last updated
04/20/2021
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