Individual
DR. LEE MICHAEL DEMERTZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 317-0600
(314) 317-0606
Mailing address
12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2006001553
MO
207RP1001X
Pulmonary Disease Physician
2006001553
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831298827
—
MO
Enumeration date
09/22/2006
Last updated
03/10/2015
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