Individual
LARRY VICTOR LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 565-3055
(508) 894-0757
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 565-3055
(508) 894-0757
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
290994
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
58325
CO
Other
Enumeration date
06/04/2011
Last updated
03/15/2022
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