Organization
LEE PROFESSIONAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE MD (MANAGING MEMBER)
(800) 310-7334
Entity
Organization
Contact information
Practice address
15 HAWK RIDGE DR, LAS VEGAS, NV 89135-7864
(800) 310-7334
Mailing address
DEPT # 880229, PO BOX 29650, PHOENIX, AZ 85038-9650
(800) 310-7334
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
10503
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10503
MEDICAL LICENSE
NV
Enumeration date
11/06/2017
Last updated
04/10/2019
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