Individual
RYAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5000
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1720406812
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2021018011
MO
207RP1001X
Pulmonary Disease Physician
2021018011
MO
Other
Enumeration date
04/04/2014
Last updated
10/29/2021
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