Individual
MARVIN LEE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-8040
(719) 776-8050
Mailing address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-8040
(719) 776-8050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
108180
MN
207R00000X
Internal Medicine Physician
12591
MT
207R00000X
Internal Medicine Physician
43946
CO
208M00000X
Hospitalist Physician
058066
GA
208M00000X
Hospitalist Physician
Primary
DR.0043946
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10053493
AMERIGROUP
GA
01
—
1923803
CIGNA
GA
01
—
299220
UHC
GA
01
—
336127
WELLCARE
GA
05
—
445162657A
—
GA
01
—
52173117
BCBS
GA
01
—
P00351970
RR MEDICARE-GRP # CC4177
GA
Enumeration date
10/27/2005
Last updated
01/04/2022
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