Doctor Name: | EUGENE LEE |
NPI Number: | 1508994351 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | A92294 |
Business Practice Address: | 4083 N Shiloh Dr Fayetteville, AR - 72703 |
Business Phone Number: | 4793100658 |
Business Fax Number: | |
Mailing Address: | Po Box 9796, FAYETTEVILLE |
State: | AR |
Postal Code: | 727030031 |
Phone Number: | 4793100658 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | A92294 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |