IndividualActive
Jonathan Lee, M.D.
NPI 1205190147 · Vascular & Interventional Radiology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1205190147
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 62743 (WI)
Practice location
7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone: (260) 432-1568
Fax: (260) 432-4969
Mailing address
7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Registry dates
- Enumerated
- 2012-06-26
- Last updated
- 2026-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.