Individual
DR. LEE WICHNER EDELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 W CENTRAL AVE, LAKE WALES, FL 33853-4015
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME75376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254527600
—
FL
Enumeration date
01/03/2006
Last updated
09/14/2022
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