Individual
COURTNEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2761
(215) 472-6092
Mailing address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2761
(215) 472-6092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013012533
MO
207Q00000X
Family Medicine Physician
Primary
MD442860
PA
207Q00000X
Family Medicine Physician
MT193885
PA
Other
Enumeration date
06/26/2008
Last updated
10/31/2017
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