Individual
DR. JOHN W LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
484 MESSENGER RD, KEOKUK, IA 52632-2115
(319) 524-6311
(319) 524-0868
Mailing address
10 CARRIAGE GREEN EST, KEOKUK, IA 52632-2100
(319) 524-6311
(319) 524-0868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20680
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138560
—
IA
Enumeration date
10/17/2006
Last updated
11/05/2014
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