Lee, Constance W

Lee, Constance W is an individual health care provider with primary practice located at 1 Childrens Pl Ste A Ste A, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Lee, Constance W can be contacted via phone (314) 454-6070.

Contact Information

Primary practice address
1 Childrens Pl Ste A Ste A Saint Louis MO 63110-1002
Phone: (314) 454-6070
Fax: (314) 454-2442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2016013269 Missouri
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD215943 Oregon

Profile Details

NPI number 1619036993
LBN Legal business name Lee, Constance W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jun 28th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619036993 NPPES
Missouri MEDICAID 161903699
Missouri MEDICAID ENROLLED

Popular Providers