Doctor Name: | FRED T LEE |
NPI Number: | 1427027713 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 32023 |
Business Practice Address: | 600 Highland Ave Madison, WI - 53792 |
Business Phone Number: | 6082638340 |
Business Fax Number: | 6082656533 |
Mailing Address: | 7974 Uw Health Ct, MIDDLETON |
State: | WI |
Postal Code: | 535625531 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 03/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 32023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |