Individual
DR. DORINDA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4000
(417) 875-4710
Mailing address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4000
(417) 875-4710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000153635
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497713317
—
MO
05
—
547630805
—
MO
01
—
P00786274
RR MEDICARE
—
Enumeration date
05/02/2006
Last updated
02/07/2013
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