LEE SELF MD PA
Specialist · EMMETT, ID
Organization Active NPI 1346400744
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist | 174400000X | ✓ | M7844 | ID |
| Primary Care Clinic/Center | 261QP2300X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.