Organization
LEE CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CRAIG LEE DC (OWNER)
(208) 233-0067
Entity
Organization
Contact information
Practice address
196 PARK AVE, POCATELLO, ID 83201
(208) 233-0067
(208) 233-9275
Mailing address
196 PARK AVE, POCATELLO, ID 83201
(208) 233-0067
(208) 233-9275
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA831-5
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806084000
—
ID
Enumeration date
07/26/2005
Last updated
03/30/2009
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