Individual
MICHAEL ROBERT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4311 OAK LAWN AVE, DALLAS, TX 75219-2315
(469) 730-2831
(469) 730-2695
Mailing address
4311 OAK LAWN AVE, DALLAS, TX 75219-2315
(469) 730-2831
(469) 730-2695
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
MD.205962
LA
2086S0122X
Plastic and Reconstructive Surgery Physician
M7367
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD.205962
LA
Other
Enumeration date
06/09/2007
Last updated
05/09/2017
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