Individual
CHANG SU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
169 MARTIN AVENUE, EPHRATA, PA 17522
(717) 859-4533
(717) 859-4475
Mailing address
PO BOX 815, 169 MARTIN AVENUE, EPHRATA, PA 17522
(717) 859-4533
(717) 859-4475
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS012276
PA
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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