Provider Demographics
NPI:1043370976
Name:LEE, SENA J (MD)
Entity Type:Individual
Prefix:DR
First Name:SENA
Middle Name:J
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:15051 S TAMIAMI TRL STE 203
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-5182
Mailing Address - Country:US
Mailing Address - Phone:239-437-8810
Mailing Address - Fax:239-313-2555
Practice Address - Street 1:2426 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-955-0360
Practice Address - Fax:941-955-9806
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2018-07-13
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Provider Licenses
StateLicense IDTaxonomies
FLME136018207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1043370976Medicaid