Individual
DR. LEE TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5500
(215) 351-5595
Mailing address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5500
(215) 351-5595
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD037200E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052753000
IBC PROVIDER #
PA
Enumeration date
03/14/2007
Last updated
07/08/2007
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