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EDGAR LEI
Emergency Medicine Physician
NPI: 1558893669IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Emergency Medicine PhysicianPrimary
Emergency Medicine
Code: 207P00000X
61513(TN)
CMS Specialties
PrimaryEMERGENCY MEDICINE
Education
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Class of 2017
Contact & Hours
- Address
- 200 STONECREST BLVD
SMYRNA, TN 37167 - Phone
- (631) 768-2000
Quick Facts
- NPI
- 1558893669
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 9
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