Individual
DR. JUSTIN EDWARD LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1620 BRIGHAM DR., #140, PERRYBURG, OH 43551
(419) 893-2455
(419) 891-6296
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.139456
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404515
—
OH
Enumeration date
04/07/2014
Last updated
07/05/2023
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