Individual
BENJAMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
533 BOLIVAR ST RM 459, NEW ORLEANS, LA 70112-1349
(504) 568-2242
Mailing address
533 BOLIVAR ST RM 459, NEW ORLEANS, LA 70112-1349
(504) 568-2242
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
313174
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2495496
—
LA
Enumeration date
04/10/2018
Last updated
07/09/2019
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