Individual
JEFFREY S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 16TH AVENUE CT, GREELEY, CO 80631-4539
(970) 350-0948
(970) 350-0952
Mailing address
1500 16TH AVENUE CT, GREELEY, CO 80631-4539
(970) 350-0948
(970) 350-0952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34176
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01364421
—
CO
01
—
841555456
TAX ID
CO
Enumeration date
03/31/2006
Last updated
06/21/2012
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