National Provider Identifier
Russell D Lee, MD
Russell D Lee, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Jamestown, NY and a listed phone number of (716) 483-1183.
Profile Overview
- NPI
- 1972573277
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- January 26, 2006
- Last Updated
- February 18, 2016
Practice Location
- 15 S Main St
- Suite 170
- Jamestown, NY 14701-6626
Phone: (716) 483-1183
Mailing Address
- 15 S Main St
- Suite 300
- Jamestown, NY 14701-6626
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1972573277
- Entity Type
- Individual
- Last Name
- Lee
- First Name
- Russell
- Middle Name
- D
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 15 S Main St
- Mailing Address Line 2
- Suite 300
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6626
- Mailing Country
- US
- Mailing Phone
- (716) 483-1183
- Mailing Fax
- (716) 664-4903
- Practice Street Address
- 15 S Main St
- Practice Address Line 2
- Suite 170
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6626
- Practice Country
- US
- Practice Phone
- (716) 483-1183
- Practice Fax
- (716) 664-4903
- Enumeration Date
- January 26, 2006
- Last Updated
- February 18, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 03338612 (NY), J400168929 (NY, Medicare Ptan)