Individual
DR. JAMES LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
704 S WEBSTER AVE, STE 401, GREEN BAY, WI 54301-3528
(920) 436-8284
Mailing address
704 S WEBSTER AVE, STE 401, GREEN BAY, WI 54301-3541
(304) 594-2015
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0101052917
VA
208200000X
Plastic Surgery Physician
20893
WV
208200000X
Plastic Surgery Physician
Primary
49054-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101052917
BOARD OF MED LICENSE
VA
01
—
20893
BOARD OF MED LICENSE
WV
Enumeration date
02/14/2006
Last updated
01/16/2025
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