Individual
LEE A WITTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2901 N TENAYA WAY STE 200, LAS VEGAS, NV 89128-1404
(702) 362-2622
(702) 362-0422
Mailing address
2901 N TENAYA WAY STE 200, LAS VEGAS, NV 89128-1404
(702) 362-2622
(702) 362-0422
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0607
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
2301
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
ONE HEALTH PLAN
—
05
—
0703176
—
MA
05
—
100511040
—
NV
01
—
5617306
FIRST HEALTH
—
01
—
7126566
AETNA US HEALTHCARE
—
01
—
8466748
CIGNA HEALTH PLAN
—
01
—
Y78152
MEDICARE B
—
Enumeration date
11/16/2005
Last updated
05/13/2023
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