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Individual

DR. ROBERT DM LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2102 E INWOOD RD, SOUTH BEND, IN 46614-2443
(574) 299-2400
(574) 299-2410
Mailing address
2102 E INWOOD RD, SOUTH BEND, IN 46614-2443
(574) 299-2400
(574) 299-2410

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039479A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100114340A
IN
05
100143040
IN
Enumeration date
05/27/2005
Last updated
03/06/2026
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