Individual
DR. EDWIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 B ST, SUITE 200, ANCHORAGE, AK 99503-5925
(907) 375-3357
(907) 375-3351
Mailing address
4300 B ST, SUITE 200, ANCHORAGE, AK 99503-5925
(907) 375-3357
(907) 375-3351
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
52280
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-13613
MEDICA
MN
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00792448
RR MEDICARE
MN
Enumeration date
06/23/2008
Last updated
08/28/2013
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