Individual
RICHARD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 FISHER ST RM 5A127, KEESLER AFB, MS 39534-2508
(661) 733-7006
Mailing address
301 FISHER ST RM 5A127, BILOXI, MS 39534-2508
(661) 733-7006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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