Individual
MRS. KWAN LAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6701 N CHARLES ST STE 4226, TOWSON, MD 21204-6808
(410) 296-4616
Mailing address
2 READS WAY, SUITE 201, NEW CASTLE, DE 19720-1630
(302) 709-4510
(302) 356-9304
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00361
DE
367500000X
Certified Registered Nurse Anesthetist
R146285
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402774400
—
MD
01
—
R146285
STATE LICENSE
MH
Enumeration date
08/15/2005
Last updated
07/21/2022
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