Provider Demographics
NPI:1326044561
Name:LEE, ALLEN ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ROBERT
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1850
Mailing Address - Country:US
Mailing Address - Phone:501-624-6641
Mailing Address - Fax:501-321-4890
Practice Address - Street 1:200 HEARTCENTER LN
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6351
Practice Address - Country:US
Practice Address - Phone:501-624-6641
Practice Address - Fax:501-321-4890
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC4503207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR060022979OtherRAILROAD MEDICARE
AR104085001Medicaid
AR53093OtherBCBS OF AR
ARC18267Medicare UPIN
AR53093Medicare ID - Type Unspecified