Organization
ROBERT J. LEE, M.D., PC
Active
Organization
ROBERT J. LEE, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JENSEN LEE M.D. (OWNER)
(208) 522-4409
Entity
Organization
Contact information
Practice address
3446 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 522-4409
(208) 522-4497
Mailing address
PO BOX 1583, IDAHO FALLS, ID 83403-1583
(208) 522-4409
(208) 522-4497
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M7277
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356500086
GROUP NPI
ID
05
—
135650086001
—
ID
05
—
135650086002
—
ID
01
—
1710985551
INDIVIDUAL NPI
ID
05
—
1710985551001
—
ID
Enumeration date
06/06/2008
Last updated
09/11/2010
Update your record
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