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Individual

DR. GARY G LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171
Mailing address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R8333
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
241540301
MO
01
43-1338234
TAX ID
MO
Enumeration date
11/01/2006
Last updated
01/21/2009
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