| Doctor Name: | LEE FREDERIC HENRY |
| NPI Number: | 1528036845 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 02476 |
| Business Practice Address: | 404 Jefferson St Pella, IA - 502191291 |
| Business Phone Number: | 6416283150 |
| Business Fax Number: | 6416288901 |
| Mailing Address: | 404 Jefferson St, PELLA |
| State: | IA |
| Postal Code: | 502191291 |
| Phone Number: | 6416283150 |
| Fax Number: | 6416288901 |
| NPI Enumeration Date: | 03/11/2006 |
| NPI Last Update Date: | 10/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 02476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |