Provider Demographics
NPI:1023265386
Name:LEE, ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:700 CHILDRENS DR
Mailing Address - Street 2:NCH RADIOLOGY
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2664
Mailing Address - Country:US
Mailing Address - Phone:614-722-2356
Mailing Address - Fax:614-722-2332
Practice Address - Street 1:700 CHILDRENS DR
Practice Address - Street 2:NCH RADIOLOGY
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2664
Practice Address - Country:US
Practice Address - Phone:614-722-2356
Practice Address - Fax:614-722-2332
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2014-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH57.0224132085P0229X, 2085P0229X
OH35.1233572085P0229X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology