Individual
DR. THOMAS K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12152 TESSON FERRY RD, SAINT LOUIS, MO 63128-1726
(314) 849-5414
(314) 849-2042
Mailing address
12152 TESSON FERRY RD, SAINT LOUIS, MO 63128-1726
(314) 849-5414
(314) 849-2042
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
103081
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007011602
MEDICARE
MO
01
—
0900148
UNITED HEALTHCARE
MO
01
—
18086
BLUE CROSS BLUE SHIELD
MO
01
—
200034223
MEDICARE RAILROAD
MO
01
—
225019
HEALTHLINK
MO
01
—
339445
GROUP HEALTH PLAN
MO
01
—
4330231
AETNA
MO
Enumeration date
05/22/2006
Last updated
11/18/2008
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