Individual
DAVID L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 1120, SAINT LOUIS, MO 63117-1211
(314) 977-4600
(618) 726-1653
Mailing address
1008 S SPRING AVE FL 3, SAINT LOUIS, MO 63110-2520
(314) 977-8480
(314) 977-5268
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2022037025
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA8954800
—
MO
Enumeration date
03/22/2017
Last updated
11/14/2022
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