Provider Demographics
NPI:1073836219
Name:NORMAN, LEE ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:ALAN
Last Name:NORMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:UNIVERSITY OF KS HOSPITAL HEO
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2937
Mailing Address - Country:US
Mailing Address - Phone:913-588-1108
Mailing Address - Fax:913-588-1280
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:UNIVERSITY OF KS HOSPITAL HEO
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2937
Practice Address - Country:US
Practice Address - Phone:913-588-1108
Practice Address - Fax:913-588-1280
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS32391207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine