Provider Demographics
NPI:1518070150
Name:ABRAMSOHN, LEE (DO)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:
Last Name:ABRAMSOHN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 WESTOWN PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1425
Mailing Address - Country:US
Mailing Address - Phone:515-222-8346
Mailing Address - Fax:515-222-0472
Practice Address - Street 1:2425 WESTOWN PKWY
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1425
Practice Address - Country:US
Practice Address - Phone:515-222-8346
Practice Address - Fax:515-222-0472
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01668208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1156430Medicaid
1300065OtherUNITED HEALTHCARE
231704OtherMIDLANDS CHOICE
22928OtherWELLMARK
NE10025355600Medicaid
NE10025355600Medicaid
A01365Medicare UPIN