Individual
SANG O LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
804 KENYON ROAD, SUITE A, FORT DODGE, IA 50501-5742
(515) 574-6120
(515) 574-6135
Mailing address
804 KENYON ROAD, SUITE A, FORT DODGE, IA 50501-5742
(515) 574-6120
(515) 574-6135
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21456
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159806
—
IA
01
—
10198
BLUE CROSS BLUE SHIELD
IA
Enumeration date
04/14/2006
Last updated
02/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us