Individual
JEANA J. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
Mailing address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1046722
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108300
ANTHEM
—
05
—
200065630A
—
IN
Enumeration date
07/28/2005
Last updated
03/25/2010
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