Individual
DR. DANIEL JAMES LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(610) 428-8134
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(610) 428-8134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0101250726
VA
2084P0800X
Psychiatry Physician
Primary
0101250726
VA
Other
Enumeration date
06/18/2010
Last updated
12/17/2015
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