| Doctor Name: | EDWARD K LEE |
| NPI Number: | 1013930577 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101007580 |
| Business Practice Address: | 1840 Wealthy St Se East Grand Rapids, MI - 495062921 |
| Business Phone Number: | 6167747845 |
| Business Fax Number: | 6167745146 |
| Mailing Address: | 100 Michigan St Ne, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495032560 |
| Phone Number: | 6163911830 |
| Fax Number: | 6163911286 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 10/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | 5101007580 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |