Individual
DR. BRIAN JEN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3290 N RIDGE RD STE 250, ELLICOTT CITY, MD 21043-3659
(443) 574-4719
(877) 369-5380
Mailing address
2633 GOLF ISLAND RD, ELLICOTT CITY, MD 21042-2287
(410) 978-9796
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301093681
MI
207W00000X
Ophthalmology Physician
57010750
OH
207W00000X
Ophthalmology Physician
D0071864
MD
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
D0071864
MD
Other
Enumeration date
09/26/2007
Last updated
02/19/2019
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