# LEE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366600884
- **Authorized official:** CARYL MATTHEW (DIR OF OPERATIONS)
- **Authorized official phone:** (301) 877-9454

## Contact information

- **Practice address:** 7905 MALCOLM RD, CLINTON, MD 20735-1734
- **Practice address phone:** (301) 877-9454
- **Mailing address:** 3710 RIVIERA ST STE 2C, TEMPLE HILLS, MD 20748-1719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2008
- **Last updated:** 05/30/2008