Individual
LEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 OLENTANGY RIVER RD, SUITE 6300, COLUMBUS, OH 43214-3937
(614) 566-3175
(614) 566-3125
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
35.090009
OH
207RC0000X
Cardiovascular Disease Physician
15205
TN
207RC0000X
Cardiovascular Disease Physician
35090009
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2763611
—
OH
Enumeration date
10/26/2005
Last updated
09/10/2018
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