Individual
ANDY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(502) 625-5584
Mailing address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01066793A
IN
207L00000X
Anesthesiology Physician
57010099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000622689
ANTHEM
IN
01
—
106117
SIHO
IN
01
—
129703800
US DEPT. OF LABOR
IN
05
—
200948500
—
IN
01
—
3722991000
PASSPORT ADVANTAGE
—
01
—
50024466
PASSPORT
—
05
—
7100104020
—
KY
Enumeration date
05/25/2007
Last updated
05/12/2016
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