SAMUEL LEE

FORT WAYNE, IN
NPI1912586488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IN  02009193A)
Enumeration Date2021-04-03
Last Update Date2026-06-30
Business Address
SAMUEL LEE DO
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845-1673
Phone number: 260-425-6780
Mailing Address
SAMUEL LEE DO
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-520-5700
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