Individual
RUSSELL M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 N NEVADA AVE, SUITE 4004, COLORADO SPRINGS, CO 80907-6832
(719) 471-7064
(719) 776-5459
Mailing address
2312 N NEVADA AVE STE 305, COLORADO SPRINGS, CO 80907-5318
(719) 471-7064
(719) 776-5459
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
28832
CO
207RP1001X
Pulmonary Disease Physician
Primary
28832
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01288323
—
CO
01
—
290006276
RAILROAD MEDICARE
CO
Enumeration date
12/19/2006
Last updated
10/01/2024
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