Individual
ANITA C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9436
(215) 243-3208
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9436
(215) 243-3208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062917L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016972300003
—
PA
Enumeration date
07/05/2006
Last updated
09/16/2019
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