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Individual

BRIAN DAVID LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
DERMATOLOGY, 2020 GRAVIER STREET, NEW ORLEANS, LA 70112
(504) 412-1566
Mailing address
1340 POYDRAS ST, NEW ORLEANS, LA 70112-1221
(504) 412-1860

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18249
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1387631
LA
Enumeration date
07/24/2006
Last updated
07/08/2007
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