Individual
FORD W. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7900 W JEFFERSON BLVD STE 306, FORT WAYNE, IN 46804-4128
(260) 458-3610
(260) 479-4614
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71009051A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009051A
IN
Other
Enumeration date
05/25/2019
Last updated
04/22/2026
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