Individual
LEE M MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802-8655
(814) 863-6747
(814) 863-8464
Mailing address
308 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802-8655
(814) 863-6747
(814) 863-8464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101054104
VA
207P00000X
Emergency Medicine Physician
Primary
MD469191
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006091636 541581185
—
VA
05
—
03339291
—
NY
Enumeration date
10/17/2006
Last updated
05/13/2020
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