Organization
LEE T SIMON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SIMON (PRESIDENT)
(330) 337-8739
Entity
Organization
Contact information
Practice address
2222 OAK ST, SALEM, OH 44460-2520
(330) 337-8739
Mailing address
2222 OAK ST, SALEM, OH 44460-2520
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
043640
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515008
—
OH
Enumeration date
12/20/2010
Last updated
12/21/2010
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