Brian J Lee is a Plastic Surgery in Fort Wayne, Indiana. Brian J Lee practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Brian J Lee is 1508867656. The last update date is 2012-03-06.
Brian J Lee's current location address is 7910 W Jefferson Blvd Ste 212, Fort Wayne, Indiana. You can contact this provider via phone number 2604277473 and fax number 2604323189. The mailing address for Brian J Lee is 7910 W Jefferson Blvd Ste 212, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian J Lee |
|---|---|
| Address | 7910 W Jefferson Blvd Ste 212, Fort Wayne, Indiana |
| Phone Number | 2604277473 |
| Fax Number | 2604323189 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508867656 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2012-03-06 |
Provider Mailing Address Detail
| Address | 7910 W Jefferson Blvd Ste 212 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044159 |
| Phone Number | 2604277473 |
| Fax Number | 2604323189 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 01040298A |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 984010 | OH | -- | |
| 100372020 | IN | -- | |
| 240007525 | IN | MEDICARE RAILROAD | |
| 104366796 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brian J Lee by the Centers for Medicare & Medicaid Services?
The Brian J Lee has been issued the NPI (National Provider Identifier) 1508867656 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brian J Lee is located?
The Brian J Lee is situated at the following address: 7910 W Jefferson Blvd Ste 212, Fort Wayne, IN, 468044159.
What is Brian J Lee's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian J Lee is Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 208200000X.
On what date was the 1508867656 assigned to Brian J Lee?
The Brian J Lee was issued its 1508867656 on 2005-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brian J Lee last refreshed?
The information related to the Brian J Lee, including its address, specialty, and other relevant details, was last updated on 2012-03-06.