| NPI | 1033437132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN LEE Family Practice 307-203-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 6084A) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |