Male or Other

Edward M. Lee MD

Anesthesiology Physician in Jacksonville, FL(View on Map)

Full Name

Edward M Lee MD

NPI Number

1255326542

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/13/2005

Specialties

(Taxonomies)

Code

207L00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME63526

Contact
Information

Purpose

Mailing
Location

Address

2165 HERSCHEL ST
1800 BARRS ST

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32204-3819
32204-4704

Country

US
US

Telephone Number

(904) 387-4030
(904) 387-4030

Identifiers

Identifier

31702
254021500
00792107A

Identifier State

FL
FL
GA

Identifier Issuer

BCBS
Unknown
MEDICAID

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/30/2018

Provider Address

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