Provider Demographics
NPI:1962745836
Name:POSTON, LEE J (DPM)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:J
Last Name:POSTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MEDICAL PARK DR STE B
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-5361
Mailing Address - Country:US
Mailing Address - Phone:334-222-3338
Mailing Address - Fax:
Practice Address - Street 1:301 MEDICAL PARK DR STE B
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-5361
Practice Address - Country:US
Practice Address - Phone:334-222-3338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDP176552213ES0103X
390200000X
AL352213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program