Individual
LEE MADDOX
Active
Individual
LEE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD421102
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD421102
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD421102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001940725
—
PA
01
—
1459910
HIGHMARK BLUE SHEILD
PA
01
—
1534399
GATEWAY-WMG
PA
01
—
20087293
AMERIHEALTH MERCY-WMG
PA
01
—
271453
UNISON-WMG
PA
01
—
904415
CAREFIRST MD BCBS
MD
Enumeration date
08/23/2005
Last updated
12/10/2025
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