Individual
SARA L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
S SIXTH AVE AND SPRUCE ST, THRMC REGIONAL CANCER CENTER, WEST READING, PA 19611
(610) 374-4404
(610) 374-1396
Mailing address
PO BOX 16052, READING, PA 19612-6052
(610) 374-4404
(610) 374-1396
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054304
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50092796
CAPITAL BLUE CROSS
PA
Enumeration date
03/30/2010
Last updated
11/19/2010
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