Doctor Name: | DOUGLAS Y LEE |
NPI Number: | 1851654172 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 1073 |
Business Practice Address: | 33003 Battalion Ave Bldg 33003, Monroe Clinic Ft Hood, TX - 76544 |
Business Phone Number: | 6304269302 |
Business Fax Number: | |
Mailing Address: | 33003 Battalion Ave, Bldg 33003, Monroe Clinic FT HOOD |
State: | TX |
Postal Code: | 76544 |
Phone Number: | 6304269302 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2012 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |