Individual provider · Type 1 NPI
Cleveland Lee Jr.
Specialist · Smackover, AR
NPI number
1629363536
Active
Practice location
1810 Sumac St
Smackover, AR 71762-2412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2343 (AR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1629363536
Cleveland Lee Jr.'s National Provider Identifier is 1629363536, issued on Jun 20, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Smackover, AR. The record was last updated on Jun 20, 2011.