Provider Demographics
NPI:1154367910
Name:FREUND, LEE MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:MICHAEL
Last Name:FREUND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1500 W STATE HIGHWAY J
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-7425
Mailing Address - Country:US
Mailing Address - Phone:417-582-0097
Mailing Address - Fax:417-485-0215
Practice Address - Street 1:1500 W STATE HIGHWAY J
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-7425
Practice Address - Country:US
Practice Address - Phone:417-582-0097
Practice Address - Fax:417-485-0215
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2005025941207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H01953Medicare UPIN