Individual
DR. RICHARD LEE
Active
Individual
DR. RICHARD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
201458
LA
2085R0202X
Diagnostic Radiology Physician
Primary
26215
OK
208D00000X
General Practice Physician
26215
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014761
—
LA
05
—
200193740B
—
OK
01
—
26215
LICENSE
OK
Enumeration date
02/16/2006
Last updated
01/15/2016
Update your record
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