Provider Demographics
NPI:1023188703
Name:LEE, NORRIS K (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:NORRIS
Middle Name:K
Last Name:LEE
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Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:12 HIGH ST
Mailing Address - Street 2:STE 102
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7676
Mailing Address - Country:US
Mailing Address - Phone:207-784-4539
Mailing Address - Fax:207-784-2868
Practice Address - Street 1:12 HIGH ST
Practice Address - Street 2:STE 102
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7676
Practice Address - Country:US
Practice Address - Phone:207-784-4539
Practice Address - Fax:207-784-2868
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2011-10-27
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Provider Licenses
StateLicense IDTaxonomies
ME018325207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME435255199Medicaid
ME435255199Medicaid