Provider Demographics
NPI:1699482596
Name:LEE-VOEGELE LLC
Entity type:Organization
Organization Name:LEE-VOEGELE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-226-2228
Mailing Address - Street 1:1006 PROFESSIONAL BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-2715
Mailing Address - Country:US
Mailing Address - Phone:706-226-2228
Mailing Address - Fax:
Practice Address - Street 1:1006 PROFESSIONAL BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-2715
Practice Address - Country:US
Practice Address - Phone:706-226-2228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental