Provider Demographics
NPI:1669429908
Name:BEE, LEE PETER (DO, FACOI)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:PETER
Last Name:BEE
Suffix:
Gender:M
Credentials:DO, FACOI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 AVALON CHASE DR
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-7802
Mailing Address - Country:US
Mailing Address - Phone:314-365-6064
Mailing Address - Fax:888-392-2144
Practice Address - Street 1:7721 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63117-1301
Practice Address - Country:US
Practice Address - Phone:314-542-6072
Practice Address - Fax:888-394-2144
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.009566207P00000X, 207R00000X, 207R00000X, 207R00000X
MO2012021377208M00000X, 207R00000X, 202C00000X, 207R00000X, 208M00000X, 202C00000X
OK04273207R00000X
IL036.125672207R00000X, 208M00000X, 208M00000X, 202C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKI44871Medicare UPIN
OK24M728914Medicare PIN
IL36125672Medicare PIN
OKOK100214Medicare PIN