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Individual

MR. ROBERT S LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
700 BOB O LINK DR, LEXINGTON, KY 40504-3756
(859) 258-8575
(859) 258-8562
Mailing address
700 BOB O LINK DR, LEXINGTON, KY 40504-3756
(859) 258-8575
(859) 258-8562

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1732
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100217190
KY
Enumeration date
10/11/2006
Last updated
05/09/2019
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