Doctor Name: | LEE MONROE DENNIS |
NPI Number: | 1629040647 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C1-0002705 |
Business Practice Address: | 960 Forest St Dover, DE - 199043470 |
Business Phone Number: | 3027351888 |
Business Fax Number: | 3027351802 |
Mailing Address: | 960 Forest St, DOVER |
State: | DE |
Postal Code: | 199043470 |
Phone Number: | 3027351888 |
Fax Number: | 3027351802 |
NPI Enumeration Date: | 02/03/2006 |
NPI Last Update Date: | 08/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C1-0002705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |