Individual
LEE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
23881
MS
207W00000X
Ophthalmology Physician
Primary
T2617
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T2617
TEMPORARY MEDICAL LICENSE NUMBER
MS
Enumeration date
06/29/2012
Last updated
07/13/2023
Update your record
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