Basic Information
Provider Information
NPI: 1093713034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEE
FirstName: ARTHUR
MiddleName: FRANCIS
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 560 S LOOP RD
Address2:  
City: EDGEWOOD
State: KY
PostalCode: 410173405
CountryCode: US
TelephoneNumber: 8593012663
FaxNumber: 8598177848
Practice Location
Address1: 6620 CLOUGH PIKE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452444053
CountryCode: US
TelephoneNumber: 5132322663
FaxNumber: 8598177848
Other Information
ProviderEnumerationDate: 07/13/2005
LastUpdateDate: 07/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X35-04-9838OHY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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