Individual
LAWRENCE E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 EAST 14TH STREET, SEDALIA, MO 65302-1706
(660) 827-9199
(660) 826-0171
Mailing address
601 EAST 14TH STREET, SEDALIA, MO 65302-1706
(660) 827-9199
(660) 826-0171
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R4646
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02622031
BCBS
MO
05
—
201018512
—
MO
01
—
P00604390
RR MEDICARE
MO
Enumeration date
07/19/2006
Last updated
07/26/2013
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