Individual
DR. LEE DELACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
693 MAIN ST, BLDG A STE 2, LUMBERTON, NJ 08048
(609) 265-1700
(609) 265-8146
Mailing address
PO BOX 70, 693 MAIN ST BLDG A STE 2, LUMBERTON, NJ 08048
(609) 265-1700
(609) 265-8146
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA04974500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2345803
—
NJ
01
—
3525351
AETNA
NJ
01
—
P00141371
MEDICARE RR
NJ
Enumeration date
05/18/2006
Last updated
10/22/2020
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