Organization
DR. PETER LEE D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER LEE D.O. (OWNER)
(620) 624-7070
Entity
Organization
Contact information
Practice address
23 EAST 11TH, LIBERAL, KS 67901
(620) 624-7070
(620) 624-7757
Mailing address
PO BOX 620, LIBERAL, KS 67905
(620) 624-7070
(620) 624-7757
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
0522558
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110913
BCBS GROUP #
KS
Enumeration date
10/03/2006
Last updated
08/22/2020
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