MR. Matthew Kermit Lee, IDC
NPI #1770932220 in Groton, Connecticut
Provider Information
- NPI Number
- 1770932220
- Entity Type
- Individual
- Name
- MR. Matthew Kermit Lee, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jun 6, 2016
- Last Updated
- Jun 6, 2016
Practice Location
- Address
- 465 TROUT AVE
- Address 2
- NUMI
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340
- Phone
- (680) 666-6666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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