| Lawrence I Lee MD LLC | |
|
120 Cahaba Valley Pkwy Suite 203 Pelham AL 35124-1185 | |
| (205) 985-9023 | |
| Not Available |
| Full Name | Lawrence I Lee MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 Cahaba Valley Pkwy, Pelham, Alabama |
| Authorized Official Name and Position | Lawrence I Lee (OWNER) |
| Authorized Official Contact | 2059859023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence I Lee MD LLC 120 Cahaba Valley Pkwy Suite 203 Pelham AL 35124-1185 Ph: (205) 985-9023 | Lawrence I Lee MD LLC 120 Cahaba Valley Pkwy Suite 203 Pelham AL 35124-1185 Ph: (205) 985-9023 |
| NPI Number | 1972735892 |
|---|---|
| Provider Enumeration Date | 08/11/2009 |
| Last Update Date | 08/11/2009 |
| Medicare PECOS PAC ID | 8224183082 |
|---|---|
| Medicare Enrollment ID | O20090831000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972735892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20235 (Alabama) | Primary |
| Provider Name | Lawrence I Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063424935 PECOS PAC ID: 0446305304 Enrollment ID: I20090831000072 |
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