Individual
CHRISTOPHER JOSEPH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 BALDWIN BLVD, SHAMOKIN DAM, PA 17876-9519
(570) 884-7970
(570) 884-7975
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD430160
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101731067 0001
—
PA
01
—
1475996
BLUE SHIELD GROUP
PA
05
—
15761540005
—
PA
01
—
210181
H.A. IND
PA
01
—
50016191
BLUE CROSS GROUP
PA
01
—
82215
GHP INDIVIDUAL
PA
01
—
LE1899782
BLUE SHIELD
PA
Enumeration date
09/20/2006
Last updated
09/09/2021
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