Individual
DR. ROBERT SUTTON LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729
(715) 723-9138
(715) 723-8633
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24971
WI
207QA0401X
Addiction Medicine (Family Medicine) Physician
24971
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
ADVOCARE
WI
01
—
01-19481
MEDICA
WI
01
—
1020
GREATER MARSFIELD PLAN
WI
01
—
301025868
PREFERRED ONE
WI
01
—
301813
CCN
WI
01
—
30499400
WISCONSIN RISK
WI
05
—
30499400
—
WI
01
—
3080003725
TRAVELERS RAILROAD
WI
01
—
391435797
EMPLOYERS HEALTH
WI
01
—
4F991LE
BLUE CROSS MINNESOTA
WI
01
—
B54489
GROUP HEALTH
WI
01
—
W005284
CHAMPUS
WI
Enumeration date
05/23/2005
Last updated
07/21/2022
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