Organization
LEE MEDICAL CLINIC SC
Active
Other names
Legal Business Name
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHA LEE MD (DOCTOR OWNER)
(414) 616-8901
Entity
Organization
Contact information
Practice address
7114 W. CAPITOL DRIVE, MILWAUKEE, WI 53216
(414) 616-8901
(414) 616-8906
Mailing address
7114 W CAPITOL DR, MILWAUKEE, WI 53216-2052
(414) 616-8901
(414) 616-8906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42508020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34066500
—
WI
Enumeration date
09/21/2006
Last updated
10/04/2010
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