Provider Demographics
NPI:1013396530
Name:LEE, JOHN PHILLIP (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PHILLIP
Last Name:LEE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF PATHOLOGY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-384-9605
Mailing Address - Fax:319-467-5193
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF PATHOLOGY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-384-9605
Practice Address - Fax:319-467-5193
Is Sole Proprietor?:No
Enumeration Date:2015-05-29
Last Update Date:2019-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IADO-05312207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology