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Individual

CONNIE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9396D BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2802
(410) 480-9110
Mailing address
9396D BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2802
(410) 480-9110

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05908
MD

Other

Enumeration date
10/15/2015
Last updated
01/14/2019
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