Provider Demographics
NPI:1114089810
Name:COLEMAN, LEE ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:ALAN
Last Name:COLEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7400 NEW LAGRANGE RD.
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4870
Mailing Address - Country:US
Mailing Address - Phone:502-425-3815
Mailing Address - Fax:502-425-3741
Practice Address - Street 1:7400 NEW LA GRANGE RD
Practice Address - Street 2:SUITE 301
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4870
Practice Address - Country:US
Practice Address - Phone:502-425-3815
Practice Address - Fax:502-425-3786
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY178332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry