IndividualActive
Jordan Lee, DO
NPI 1417535220 · Anesthesiology Physician · Afton, WY
Provider details
- NPI number
- 1417535220
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 18752A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
901 Adams St
Afton, WY 83110-9621
Phone: (307) 885-5800
Approximate (ZIP-level) locationGet directions
Mailing address
901 Adams St
Afton, WY 83110-9621
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.