Provider Demographics
NPI:1013906718
Name:LEE, ERNEST CASTRO (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:CASTRO
Last Name:LEE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17123 APPLE TREE DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-6893
Mailing Address - Country:US
Mailing Address - Phone:405-734-3401
Mailing Address - Fax:405-734-3404
Practice Address - Street 1:8941 ENTRANCE RD A
Practice Address - Street 2:72 AMDS/SGPO
Practice Address - City:TINKER AFB
Practice Address - State:OK
Practice Address - Zip Code:73145-3065
Practice Address - Country:US
Practice Address - Phone:405-734-3401
Practice Address - Fax:405-734-3404
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKE-1434207Q00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine