Organization
KEVIN LEE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN R LEE MD (OWNER)
(248) 926-4292
Entity
Organization
Contact information
Practice address
136 S PONTIAC TRL # 2, WALLED LAKE, MI 48390-3349
(248) 926-4292
Mailing address
136 S PONTIAC TRL # 2, WALLED LAKE, MI 48390-3349
(248) 926-4292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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