Individual
ANDREW G LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
33357
IA
207W00000X
Ophthalmology Physician
Primary
J7048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206417
—
IA
05
—
125175305
—
TX
05
—
125175306
—
TX
01
—
16243
WELLMARK BCBS
IA
01
—
8BZ089
BLUE CROSS BLUE SHIELD
TX
01
—
8DZ190
BLUE CROSS BLUE SHIELD
TX
01
—
P00782064
MEDICARE RAILROAD
TX
01
—
P01063017
RAILROAD MEDICARE
TX
Enumeration date
08/10/2005
Last updated
10/15/2013
Update your record
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