Individual
DR. SUSAN C. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9501 OLD ANNAPOLIS RD, SUITE 101, ELLICOTT CITY, MD 21042-6314
(410) 992-9339
(410) 964-5150
Mailing address
11301 BISHOPS GATE LN, LAUREL, MD 20723-2052
(410) 792-2170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0058964
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510113100
—
MD
Enumeration date
04/18/2006
Last updated
03/17/2023
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