Provider Demographics
NPI:1437103801
Name:SCHMITT, LEE AUBREY (MD)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:AUBREY
Last Name:SCHMITT
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 1:617 LAKE COLONY DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7415
Mailing Address - Country:US
Mailing Address - Phone:205-838-3047
Mailing Address - Fax:205-838-3497
Practice Address - Street 1:52 MEDICAL PARK DR E
Practice Address - Street 2:SUITE 307
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3430
Practice Address - Country:US
Practice Address - Phone:205-838-3047
Practice Address - Fax:205-838-3497
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16072174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1437103801OtherNPI
AL1437103801OtherNPI
ALF13037Medicare UPIN