Organization Name: | J. T. LEE, MD, PA |
NPI Number: | 1841244126 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN T LEE (PRESIDENT) |
Mailing Address: | 669 Revolution St Havre De Grace |
State: | MD US |
Postal Code: | 210783319 |
Phone Number: | 4109392840 |
Fax Number: | 4109392329 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D0020661 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |