Lee, Robert

Lee, Robert is an individual health care provider with primary practice located at 53822 Generations Dr , South Bend IN 46635-1543. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Lee, Robert can be contacted via phone (574) 233-3711.

Contact Information

Primary practice address
53822 Generations Dr South Bend IN 46635-1543
Phone: (574) 233-3711
Fax: (574) 288-1702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 01048726A Indiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01048726A Indiana

Profile Details

NPI number 1962401869
LBN Legal business name Lee, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 12th, 2017 - about 7 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 1962401869 NPPES
Michigan MEDICAID 4134100
Michigan MEDICAID 200182540
Michigan MEDICAID 200883090A
Michigan Other 000000093609
Michigan Other 000000550384

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