Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
LCC Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R NATHAN (CEO)
(239) 343-6150
Entity
Organization
Contact information
Practice address
4771 S CLEVELAND AVE, FORT MYERS, FL 33907-1317
(239) 343-9800
(239) 343-9848
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1400
(239) 424-1421
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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