Organization
DR. JOHN LEE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W LEE MD (OWNER)
(319) 524-6311
Entity
Organization
Contact information
Practice address
484 MESSENGER RD, KEOKUK, IA 52632-2115
(319) 524-6311
(319) 524-0868
Mailing address
484 MESSENGER RD, KEOKUK, IA 52632-2115
(319) 524-6311
(319) 524-0868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20680
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138560
—
IA
Enumeration date
07/15/2008
Last updated
11/05/2014
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