Individual
JAMES S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W BOUNDARY AVE, WINNFIELD, LA 71483-3427
(318) 302-3602
(318) 302-3604
Mailing address
301 W BOUNDARY AVE, WINNFIELD, LA 71483-3427
(318) 302-3602
(318) 302-3604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38099
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82287261
—
CO
01
—
841555456
TAX ID
CO
Enumeration date
03/31/2006
Last updated
04/13/2017
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