Individual
SORA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11008 BREWERS DR, PERRY HALL, MD 21128-8950
(443) 939-1531
Mailing address
11008 BREWERS DR, PERRY HALL, MD 21128-8950
(443) 939-1531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R208371
MD
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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