Individual
DAVID J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-5000
(574) 233-3125
Mailing address
PO BOX 1742, SOUTH BEND, IN 46634-1742
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01079438A
IN
Other
Enumeration date
05/22/2013
Last updated
02/01/2018
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