IndividualActive
Brian Lee, MD
NPI 1508867656 · Plastic Surgery Physician · Fort Wayne, IN
Provider details
- NPI number
- 1508867656
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01040298A (IN)
Practice location
7910 W Jefferson Blvd Ste 212
Fort Wayne, IN 46804-4159
Phone: (260) 427-7473
Fax: (260) 432-3189
Mailing address
7910 W Jefferson Blvd Ste 212
Fort Wayne, IN 46804-4159
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2012-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.