Individual
DR. WAYNE C LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 E BRANDON BLVD STE 101, BRANDON, FL 33511
(813) 579-3369
(866) 202-3227
Mailing address
1971 W LUMSDEN RD STE 350, BRANDON, FL 33511-8820
(813) 579-3369
(866) 202-3227
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
93895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067770B
MEDICARE
IN
01
—
1598833543
NPI
IN
Enumeration date
11/30/2006
Last updated
12/20/2020
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