Lee, Justin

Lee, Justin is an individual health care provider with primary practice located at 1 Good Samaritan Way , Mount Vernon IL 62864-2402. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lee, Justin can be contacted via phone (188) 993-8696.

Contact Information

Primary practice address
1 Good Samaritan Way Mount Vernon IL 62864-2402
Phone: (188) 993-8696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036144067 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 51528 Connecticut

Profile Details

NPI number 1841421948
LBN Legal business name Lee, Justin
Credentials MSC., MSC., M.D.,
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2009
Last updated Mar 18th, 2019 - about 6 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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