Individual
ALAN JAMES LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-4930
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
S4333
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036172335
IL
207VM0101X
Maternal & Fetal Medicine Physician
MD61197180
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2015
Last updated
01/16/2025
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