Individual
DR. SHANG-CHIUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 S NATIONAL AVE, SUITE 3600, SPRINGFIELD, MO 65804-2265
(417) 820-3911
(417) 820-3924
Mailing address
2115 S FREMONT AVE STE 4300, SPRINGFIELD, MO 65804-2232
(417) 820-3911
(417) 820-3919
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2004035459
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2004035459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207626409
—
MO
Enumeration date
10/13/2006
Last updated
03/01/2010
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