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Individual

JUSTIN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2325 18TH ST STE 220, COLUMBUS, IN 47201-5389
(812) 376-5640
(812) 376-5641
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01087624A
IN

Other

Enumeration date
03/25/2016
Last updated
09/06/2024
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