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Individual

LISA J LEE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
PO BOX 5128, LIMA, OH 45802-5128
(419) 224-5707
(419) 229-0040

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.079096
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000202854
ANTHEM BCBS
OH
05
2250282
OH
Enumeration date
03/28/2006
Last updated
07/08/2007
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