Individual
DANIEL KWAI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 W RIDGEWAY AVE, WATERLOO, IA 50701
(319) 233-0340
(319) 233-0666
Mailing address
1717 W RIDGEWAY AVE, WATERLOO, IA 50701-4543
(319) 233-0340
(319) 233-0666
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
37395
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326257346
—
IA
01
—
253990
MIDLANDS CHOICE
IA
01
—
70308
BLUE CROSS BLUE SHIELD IA
IA
01
—
P00424555
RR MEDICARE
—
Enumeration date
05/22/2007
Last updated
10/12/2018
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