Individual
PETER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 750-3800
(702) 750-3808
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 838-8265
(702) 804-3788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9825
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080173085
RAILROAD MEDICARE
NV
05
—
2018774
—
NV
05
—
3102774
—
NV
Enumeration date
02/01/2006
Last updated
12/16/2024
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