Lee, Domingo Anthony

Lee, Domingo Anthony is an individual health care provider with primary practice located at 8435 Clearvista Place Suite 101, Indianapolis IN 46256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Lee, Domingo Anthony can be contacted via phone (317) 621-1006.

Contact Information

Primary practice address
8435 Clearvista Place Suite 101 Indianapolis IN 46256
Phone: (317) 621-1006
Fax: (317) 621-1010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01038816A Indiana

Profile Details

NPI number 1528081643
LBN Legal business name Lee, Domingo Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 10th, 2021 - about 5 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 1528081643 NPPES
Indiana Other P00094602 RR MEDICARE
Indiana MEDICAID 100121540 RR MEDICARE
Indiana Other P00966919 RR MEDICARE
Indiana Other 000000313231 RR MEDICARE
Indiana Other 000000700859 RR MEDICARE

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