# SHAWN R LEE DC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Susquehanna Spine & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194859728
- **Authorized official:** DR. SHAWN R LEE DC (OWNER)
- **Authorized official phone:** (443) 512-0025

## Contact information

- **Practice address:** 2105 LAUREL BUSH RD, SUITE 103, BEL AIR, MD 21015-6185
- **Practice address phone:** (443) 512-0025
- **Mailing address:** 2105 LAUREL BUSH RD, SUITE 103, BEL AIR, MD 21015-6185
- **Mailing address phone:** (443) 512-0025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | S02073 | MD | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 03/15/2011
