Individual
ROBERT M LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD, SUITE 2670, NEWARK, DE 19718-2200
(302) 584-2601
(302) 733-4832
Mailing address
4755 OGLETOWN STANTON RD, SUITE 2670, NEWARK, DE 19718-2200
(302) 584-2601
(302) 733-4832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000475
DE
363AM0700X
Medical Physician Assistant
C5-0000475
DE
363AS0400X
Surgical Physician Assistant
C5-0000475
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154205339
—
DE
Enumeration date
06/17/2006
Last updated
07/05/2016
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