Individual
PAUL J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6741
(608) 756-6376
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6741
(608) 756-6376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
54331-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902030711
BCBSWI
WI
05
—
1902030711
—
WI
05
—
447804815 1
—
IL
01
—
LEEPAU
MERCYCARE INSURANCE
WI
Enumeration date
05/07/2009
Last updated
06/30/2014
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