IndividualActive
Chung Lee, M.D.
NPI 1093718249 · Gastroenterology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1093718249
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01029687A (IN)
Practice location
2622 Lake Ave
Fort Wayne, IN 46805-5410
Phone: (260) 425-3100
Fax: (260) 425-3604
Mailing address
2622 Lake Ave
Fort Wayne, IN 46805-5410
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2015-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.