Individual
CHARLES LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(907) 745-0374
(907) 745-0200
Mailing address
PO BOX 853, PALMER, AK 99645-0853
(907) 745-0374
(907) 745-0200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2913
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020257499
GROUPS ENERGY EMP#
AK
01
—
050067817
LEE RAILROAD MCR#
AK
01
—
193975000
GROUPS FED DEPT LABOR#
AK
01
—
CI9459
GROUPS RAILROAD MCR#
AK
05
—
MD01001
—
AK
05
—
MDG417
—
AK
Enumeration date
05/16/2006
Last updated
02/04/2013
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