Individual
KWANG W LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34TH STREET & CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104
(215) 590-1858
(215) 977-8351
Mailing address
100 N 20TH STREET, SUITE 200, PHILADELPHIA, PA 19103
(215) 977-8100
(215) 977-8351
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD033069L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006841010
—
PA
Enumeration date
08/20/2006
Last updated
07/08/2007
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