Individual
ADAM DONOVAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 942-0551
Mailing address
1367 ACORN DR, CREST HILL, IL 60403-0952
(815) 744-5524
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004933A
IN
207P00000X
Emergency Medicine Physician
336.085317
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201017380
—
IN
Enumeration date
02/16/2009
Last updated
12/18/2020
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