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Individual

DR. SHAWN R LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2105 LAUREL BUSH RD, #103, BEL AIR, MD 21015-6185
(443) 512-0025
Mailing address
2105 LAUREL BUSH RD, #103, BEL AIR, MD 21015-6185
(443) 512-0025

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02073
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126CSR
BLUE CROSS
MD
01
5800
HELIX FAMILY CHOICE
MD
01
681129
ACN
MH
01
K739-0001
BLUE CHOICE
MD
Enumeration date
10/24/2006
Last updated
07/08/2007
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