Whalio Doctors

NPI 1588035257

Stephen Bret Lee, CPO

Practitioner Prosthetist Jackson, MS

Practice location

Address
2500 N State St, Jackson, MS 39216-4500
Phone
(601) 984-6525

Registered specialties (2)

Prosthetist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X
Orthotist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

Registry record

NPI
1588035257
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Oct 2015
Record last updated
7 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.