Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 21285 | NE |
NPI | 1013070184 |
---|---|
Provider Name | Andrew S. Lee |
First Address | Omaha, NE 68116-4319 |
Second Address | Omaha, NE 68116-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 02/09/2015 |