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Individual

DANIEL K LEE

Active
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Individual

DANIEL K LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
51107
CO
207X00000X
Orthopaedic Surgery Physician
02004269A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
14841
ND
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
02004269A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201182760
IN
Enumeration date
05/17/2010
Last updated
09/11/2024
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