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Individual

DEBRA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8780
(410) 225-8766
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57.010531
OH
208000000X
Pediatrics Physician
Primary
D72553
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2825367
OH
Enumeration date
05/13/2007
Last updated
02/27/2013
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