Individual
DR. KAN S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19614 CLUB HOUSE RD, MONTGOMERY VILLAGE, MD 20886-3035
(301) 963-0519
(301) 963-0513
Mailing address
19614 CLUB HOUSE RD, MONTGOMERY VILLAGE, MD 20886-3035
(301) 963-0519
(301) 963-0513
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1790
MD
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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