Provider Demographics
NPI:1295802452
Name:ASTLE, LEE S (MD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:S
Last Name:ASTLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5955 ZEAMER AVE
Mailing Address - Street 2:3 MDSS/SGSL
Mailing Address - City:ELMENDORF AFB
Mailing Address - State:AK
Mailing Address - Zip Code:99506-3702
Mailing Address - Country:US
Mailing Address - Phone:907-580-6530
Mailing Address - Fax:907-580-1706
Practice Address - Street 1:5955 ZEAMER AVE
Practice Address - Street 2:3 MDSS/SGSL
Practice Address - City:ELMENDORF AFB
Practice Address - State:AK
Practice Address - Zip Code:99506-3702
Practice Address - Country:US
Practice Address - Phone:907-580-6530
Practice Address - Fax:907-580-1706
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2008-09-24
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Provider Licenses
StateLicense IDTaxonomies
UT5276422-1205207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology