Lee, Michael A
Lee, Michael A is an individual health care provider with primary practice located at 1708 Delivery Lane , Durant OK 74701-3016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Michael A can be contacted via phone (580) 924-5622.Contact Information
Primary practice address
1708 Delivery Lane
Durant OK 74701-3016
Phone: (580) 924-5622
Fax: (580) 745-5060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2100 | Oklahoma |
Profile Details
| NPI number | 1124020193 |
|---|---|
| LBN Legal business name | Lee, Michael A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Mar 17th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124020193 | NPPES |
| Oklahoma | MEDICAID | 100192170A |
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