Provider Demographics
NPI:1013967033
Name:LEE, WEI H (MD)
Entity Type:Individual
Prefix:
First Name:WEI
Middle Name:H
Last Name:LEE
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 1:1125 E WALNUT ST
Mailing Address - Street 2:P O BOX 589
Mailing Address - City:BOONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47601-2451
Mailing Address - Country:US
Mailing Address - Phone:812-897-3506
Mailing Address - Fax:812-897-3507
Practice Address - Street 1:1125 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47601-2451
Practice Address - Country:US
Practice Address - Phone:812-897-3506
Practice Address - Fax:812-897-3507
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN208600000X, 2086S0129X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Not Answered208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery