Individual
ANDREW LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-5011
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OT012975
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT012975
PA
Other
Enumeration date
04/30/2009
Last updated
07/21/2022
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