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Lee Self, MD
Gynecology Physician in Emmett, Idaho
NPI 1639121361

Lee Self is a Gynecology Physician based in Ola, ID and is specialized in Gynecology. Lee Self practices in Emmett, ID and has the professional credentials of MD. The NPI Number for Lee Self is 1639121361 and holds a License No. M7844 (Idaho).

The current practice location address for Lee Self is 2020 S Johns Ave Ste B, Emmett, ID and can be reached out via phone at 208-425-7507 and via fax at 208-541-9341.

Location: 2020 S Johns Ave Ste B, Emmett, ID, 83657-5027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639121361
Provider Name
Lee Self
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2020 S Johns Ave Ste B, Emmett, ID, 83657-5027
Phone Number
208-425-7507
Fax Number
208-541-9341
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2020 S Johns Ave Ste B
City
Emmett
State
Idaho
Zip
83617-9410
Phone Number
208-425-7507
Fax Number
208-541-9341
person
Provider Business Mailing Address Details
Address
2020 S Johns Ave Ste B
City
Emmett
State
Idaho
Zip
83617-9410
Phone Number
208-425-7507
Fax Number
208-541-9341
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
M7844 (Idaho)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
M7844 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
M7844 (Idaho)
Definition
Definition to come...
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