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Individual

LEE I BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-8493
(812) 996-8497

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
01054185A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200341820
IN
01
P00412088
RR MEDICARE
Enumeration date
10/06/2006
Last updated
09/01/2013
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