Individual
DR. MICHAEL DAVID LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
906 CRESWELL LANE, OPELOUSAS, LA 70570
(337) 942-1356
(337) 942-1357
Mailing address
906 CRESWELL LANE, OPELOUSAS, LA 70570
(337) 942-1356
(337) 942-1357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
540
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1937428
—
LA
01
—
2226587
AETNA
—
Enumeration date
01/05/2006
Last updated
06/26/2012
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