Individual
LAURA L LEE
Active
Individual
LAURA L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12850
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100129390B
—
OK
01
—
300105717
RAILROAD MEDICARE
OK
01
—
300129664
RAILROAD MEDICARE
OK
Enumeration date
11/25/2005
Last updated
12/19/2011
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