Individual
BRYAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHMNP
Contact information
Practice address
1727 NORTHRIDGE LN, FREDERICK, MD 21702-3066
(240) 413-9655
Mailing address
1727 NORTHRIDGE LN, FREDERICK, MD 21702-3066
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R234030
MD
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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