Individual
DR. LEE THOMAS CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 E HASKELL ST, WINNEMUCCA, NV 89445-3299
(775) 623-5222
Mailing address
PO BOX 143, COHASSET, MN 55721-0143
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
16373
NV
207P00000X
Emergency Medicine Physician
64526
MN
207Q00000X
Family Medicine Physician
16373
NV
207Q00000X
Family Medicine Physician
64526
MN
208M00000X
Hospitalist Physician
16373
NV
208M00000X
Hospitalist Physician
Primary
64526
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235428889
—
NV
Enumeration date
04/05/2011
Last updated
05/09/2025
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