Lee Michael De Dore, PA
NPI #1790017085 in Winfield, Illinois
Provider Information
- NPI Number
- 1790017085
- Entity Type
- Individual
- Name
- Lee Michael De Dore, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Feb 11, 2010
- Last Updated
- Jun 16, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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