Individual
DR. CONSTANCE W LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL STE A, STE A, SAINT LOUIS, MO 63110-1002
(314) 454-6070
(314) 454-2442
Mailing address
660 S EUCLID AVE, C B 8235, SAINT LOUIS, MO 63110-1010
(314) 454-6070
(314) 454-2442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2016013269
MO
2086S0120X
Pediatric Surgery Physician
Primary
MD215943
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161903699
—
MO
05
—
ENROLLED
—
IL
Enumeration date
12/06/2006
Last updated
06/28/2023
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