James, Randolph Lee

James, Randolph Lee is an sole proprietor health care provider with primary practice located at 403 S Baldwin Street , Woodland Park CO 80863-8762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. James, Randolph Lee can be contacted via phone (719) 686-7776.

Contact Information

Primary practice address
403 S Baldwin Street Woodland Park CO 80863-8762
Fax: (719) 355-1927
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45978 Colorado

Profile Details

NPI number 1124011507
LBN Legal business name James, Randolph Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Feb 3rd, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124011507 NPPES
Colorado Other 811674 MEMORIAL HOSPITAL

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