| Doctor Name: | MR. LEE JEPPSON MALAN |
| NPI Number: | 1033126271 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 1565291205 |
| Business Practice Address: | 3955 Harrison Blvd Suite U1 Ogden, UT - 84403 |
| Business Phone Number: | 8016213591 |
| Business Fax Number: | 8013930836 |
| Mailing Address: | 3955 Harrison Blvd, Suite U1 OGDEN |
| State: | UT |
| Postal Code: | 84403 |
| Phone Number: | 8016213591 |
| Fax Number: | 8013930836 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 1565291205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |