Brian R Lee

Individual provider Podiatrist · NPI 1285744060

Brian R Lee is a Podiatry in Mt Vernon, Illinois. Qualified in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying: 41
Licensed in: IL
In the registry since: 2006

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Practice location Address checks out

221 N 27th St
Mt Vernon, IL 62864
Phone: (618) 244-3668
Fax: (618) 244-0534

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary)	Taxonomy 213E00000X · Licence 016003846 (IL)

Record details

NPI number	1285744060
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	August 30, 2006
Last updated in NPPES	June 16, 2008
Mailing address	221 N 27th Street, Mt Vernon, IL 62864

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PODIATRY
Medical school	OTHER
Graduated	1985 (41 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount