Provider Demographics
NPI:1669444212
Name:LEE, LLEWELLYN VANORDEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LLEWELLYN
Middle Name:VANORDEN
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1521 S STAPLES ST STE 510
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-3152
Mailing Address - Country:US
Mailing Address - Phone:361-882-4000
Mailing Address - Fax:361-882-4002
Practice Address - Street 1:1521 S STAPLES ST STE 510
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3152
Practice Address - Country:US
Practice Address - Phone:361-882-4000
Practice Address - Fax:361-882-4002
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM73662085R0204X
VA01012577722085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology