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Individual

STEVEN F LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036099328
IL
207W00000X
Ophthalmology Physician
Primary
108687
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134118482
MO
05
208033910
MO
01
21577
BCBS
MO
01
273460
HEALTHLINK
MO
01
K12557
MEDICARE ILLINOIS
IL
Enumeration date
10/19/2005
Last updated
02/04/2011
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