Individual
CHRISTOPHER JOHN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Mailing address
PO BOX 905, NVRH SURGICAL GROUP, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0031277
VT
363A00000X
Physician Assistant
1098
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102435
—
NH
Enumeration date
05/08/2015
Last updated
12/30/2015
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