Individual
DR. LEE G DANTE
Active
Individual
DR. LEE G DANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D29330
MD
2084P0800X
Psychiatry Physician
Primary
MD014206E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297501700
—
MD
01
—
35415502
BC BS PROVIDER #
PA
01
—
D29330
STATE LICENSE
MD
01
—
MD014206E
STATE LICENSE
PA
Enumeration date
05/07/2007
Last updated
03/07/2023
Update your record
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