Lee Everett Edstrom is a Plastic Surgery Physician based in Providence, RI. Lee Everett Edstrom practices in Providence, RI and has the professional credentials of MD. The NPI Number for Lee Everett Edstrom is 1669566303 and holds a License No. 5949 (Rhode Island).
The current practice location address for Lee Everett Edstrom is 2 Dudley, Providence, RI and can be reached out via phone at 401-331-2303 and via fax at 401-331-4430.
Identifier | Type | State | Issuer |
---|---|---|---|
1300121 | 01 | RI | UNITED HEALTH |
300043 | 01 | RI | BLUECHIP |
050395339 | 01 | RI | TAX ID |
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