DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LEE EVERETT EDSTROM, M.D.

Active Sole Proprietor

Plastic Surgery · PROVIDENCE, RI

Registration Details

NPI Number
1669566303
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.591511840529 yrs)
Last Updated
Mar 7, 2023
License
5949 (RI)
Sole Proprietor
Yes

Practice Information

Address
2 DUDLEY
SUITE 460
PROVIDENCE, RI, 02905
Browse RI providers · Browse ZIP 02905
Phone
4013312303
Fax
4013314430
Primary Specialty
Plastic Surgery
208200000X

Other Plastic Surgery Providers in PROVIDENCE, RI

Name Credential NPI
JAMES WEINTRUB M.D. 1184623282
DAVID T. BARRALL M.D. 1871581389
PATRICK SULLIVAN MD 1659345015
KARL HEINZ BREUING MD 1720044472
RICHARD J ZIENOWICZ MD 1356379390
DR. SCOTT T SCHMIDT MD 1609986751
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.