Provider Demographics
NPI:1437151396
Name:LEE, BIENVENIDO S (MD)
Entity Type:Individual
Prefix:DR
First Name:BIENVENIDO
Middle Name:S
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 NORTHLAND BOULEVARD
Mailing Address - Street 2:OUTPATIENT ANESTHESIA SPECIALISTS
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246
Mailing Address - Country:US
Mailing Address - Phone:513-204-5696
Mailing Address - Fax:877-284-4283
Practice Address - Street 1:4415 AICHOLTZ ROAD
Practice Address - Street 2:MERCY HEALTH - EASTGATE MEDICAL CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245
Practice Address - Country:US
Practice Address - Phone:513-947-1130
Practice Address - Fax:513-947-8541
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2013-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35041018207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0334972Medicaid
OH0334972Medicaid
OHLE0434227Medicare PIN