Individual
ANDY C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
669 W COSCHOCTON AVE, JOHNSTOWN, OH 43031-9580
(614) 627-2610
(614) 627-2614
Mailing address
669 W COSCHOCTON AVE, JOHNSTOWN, OH 43031-9580
(614) 627-2610
(614) 627-2614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35058967L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0828091
—
OH
Enumeration date
05/03/2006
Last updated
03/17/2026
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