Lee, Sam M

Lee, Sam M is an individual health care provider with primary practice located at 1 Childrens Way # 512-3 , Little Rock AR 72202-3500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Lee, Sam M can be contacted via phone (501) 364-1479.

Contact Information

Primary practice address
1 Childrens Way # 512-3 Little Rock AR 72202-3500
Phone: (501) 364-1479
Fax: (804) 828-8517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101238427 Virginia
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 0101238427 Virginia
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X E-12039 Arkansas

Profile Details

NPI number 1275637654
LBN Legal business name Lee, Sam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jan 8th, 2021 - about 3 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 1275637654 NPPES
Arkansas MEDICAID 234430001

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