Organization
T THOMAS LEE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAE-AHN THOMAS LEE MD (MD)
(419) 227-5176
Entity
Organization
Contact information
Practice address
658 WEST MARKET ST, STE 200, LIMA, OH 45801-4563
(419) 227-5176
Mailing address
658 WEST MARKET ST, STE 200, LIMA, OH 45801-4563
(419) 227-5176
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35100036
OH
2084P0800X
Psychiatry Physician
A33710
CA
2084P0805X
Geriatric Psychiatry Physician
35100036
OH
2084P0805X
Geriatric Psychiatry Physician
A33710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279425
—
OH
01
—
T9176401
MEDICARE
OH
Enumeration date
12/14/2005
Last updated
10/30/2007
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