Individual
SAMUEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6130 PLUMAS ST, RENO, NV 89519-6060
(775) 982-1000
(775) 982-8041
Mailing address
1155 MILL ST, MS M-14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-8041
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25125
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669589735
—
NV
05
—
172732301
—
TX
Enumeration date
08/24/2006
Last updated
01/27/2025
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