Individual
DR. SANDRA MAUREEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2020 PALOMINO LANE, STE # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Mailing address
2020 PALOMINO LANE, STE # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101017399
MI
2085R0202X
Diagnostic Radiology Physician
DO1823
NV
2085R0202X
Diagnostic Radiology Physician
Primary
OS13438
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285830828
—
NV
01
—
P01312355
RR MEDICARE DR
MI
01
—
P01318579
RR MEDICARE DRS
MI
Enumeration date
06/21/2007
Last updated
08/25/2015
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