Individual
DR. DANIEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4711
(719) 595-7982
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4711
(719) 595-7982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL5837
CO
207R00000X
Internal Medicine Physician
TLTP.00013336
CO
Other
Enumeration date
06/10/2015
Last updated
06/17/2015
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