Individual
MR. PETER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
23 E 11TH ST, LIBERAL, KS 67901-2720
(620) 624-7070
(620) 624-7757
Mailing address
PO BOX 620, LIBERAL, KS 67905-0620
(620) 624-7070
(620) 624-7757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-22558
KS
208D00000X
General Practice Physician
Primary
05-22558
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102900
BCBS OF KANSAS
KS
Enumeration date
03/16/2006
Last updated
07/13/2026
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