Individual
DR. LEE LI PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 S BRYN MAWR AVE, SUITE H-321, BRYN MAWR, PA 19010-3121
(484) 337-4097
(484) 337-4082
Mailing address
130 S BRYN MAWR AVE, SUITE H-321, BRYN MAWR, PA 19010-3121
(484) 337-4097
(484) 337-4082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD421034
PA
208M00000X
Hospitalist Physician
Primary
MD421034
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001948670
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
02/17/2006
Last updated
06/06/2017
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