Lee, David L

Lee, David L is an individual health care provider with primary practice located at 1034 S Brentwood Blvd Ste 1120 , Saint Louis MO 63117-1211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lee, David L can be contacted via phone (314) 977-4600.

Contact Information

Primary practice address
1034 S Brentwood Blvd Ste 1120 Saint Louis MO 63117-1211
Phone: (314) 977-4600
Fax: (618) 726-1653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2022037025 Missouri

Profile Details

NPI number 1114458023
LBN Legal business name Lee, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2017
Last updated Nov 14th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114458023 NPPES
Missouri MEDICAID MA8954800

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