Individual
DR. MARIO ALEXANDER LEE
Active
Individual
DR. MARIO ALEXANDER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01064578A
IN
207X00000X
Orthopaedic Surgery Physician
35.087754
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000610118
ANTHEM
IN
05
—
200895360
—
IN
05
—
2671167
—
OH
Enumeration date
05/22/2006
Last updated
05/18/2021
Update your record
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