Provider Demographics
NPI:1427309137
Name:YEE, LESLIE M (MD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:M
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4139 MALAER DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-6623
Mailing Address - Country:US
Mailing Address - Phone:650-924-2748
Mailing Address - Fax:650-924-2748
Practice Address - Street 1:4139 MALAER DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-6623
Practice Address - Country:US
Practice Address - Phone:650-924-2748
Practice Address - Fax:650-924-2748
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0610602083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine