Doctor Name: | DR. DAVID JOHN LEE |
NPI Number: | 1649476540 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | 3233 |
Business Practice Address: | 2805 17th Ave Central City, NE - 688269604 |
Business Phone Number: | 3089463028 |
Business Fax Number: | |
Mailing Address: | 2805 17th Avenue, CENTRAL CITY |
State: | NE |
Postal Code: | 68826 |
Phone Number: | 3089463028 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 3233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |