Demertzis, Lee Michael
Demertzis, Lee Michael is an individual health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Demertzis, Lee Michael can be contacted via phone (314) 317-0600.Contact Information
Primary practice address
10010 Kennerly Rd
Saint Louis MO 63128-2106
Phone: (314) 317-0600
Fax: (314) 317-0606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2006001553 | Missouri |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2006001553 | Missouri |
Profile Details
| NPI number | 1831298827 |
|---|---|
| LBN Legal business name | Demertzis, Lee Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Mar 10th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831298827 | NPPES |
| Missouri | MEDICAID | 1831298827 |
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