Individual
DOUGLAS J LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1930 REID AVE, LORAIN, OH 44052
(440) 233-8431
(440) 233-8432
Mailing address
221 W 21ST STREET, STE 1 C O MMS, LORAIN, OH 44052
(440) 244-0010
(440) 244-0726
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35035268
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213496
—
OH
Enumeration date
02/23/2006
Last updated
07/08/2007
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