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Individual

EUGENE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4210 FRONTAGE ROAD #10, FAYETTEVILLE, AR 72703
(479) 310-0658
Mailing address
PO BOX 9796, FAYETTEVILLE, AR 72703-0031
(479) 310-0658

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
249116
NY
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A92294
CA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
E-7335
AR
2084F0202X
Forensic Psychiatry Physician
249116
NY
2084F0202X
Forensic Psychiatry Physician
A92294
CA
2084F0202X
Forensic Psychiatry Physician
E-7335
AR
2084P0800X
Psychiatry Physician
249116
NY
2084P0800X
Psychiatry Physician
A92294
CA
2084P0800X
Psychiatry Physician
Primary
E-7335
AR

Other

Enumeration date
03/02/2007
Last updated
12/22/2016
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