Individual
BRIAN E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4409 S PECOS RD, LAS VEGAS, NV 89121-5029
(702) 434-6336
(702) 436-7912
Mailing address
PO BOX 621406, LAS VEGAS, NV 89162-1406
(702) 434-6336
(702) 436-7912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12072
NV
208VP0000X
Pain Medicine Physician
12072
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511749
—
NV
Enumeration date
11/17/2006
Last updated
04/13/2011
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