Individual
FRED DOELEONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 SHADOW LN, SUITE 207, LAS VEGAS, NV 89106-4363
(702) 384-5400
(702) 384-0648
Mailing address
2251 N RAMPART BLVD, 338, LAS VEGAS, NV 89128-7640
(702) 733-6263
(702) 733-1796
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
NV5204
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002733
—
NV
Enumeration date
11/16/2005
Last updated
08/09/2010
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