Individual
CHARLES CHURLMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1711 LIVINGSTON RD, FORT MEADE, MD 20744
(301) 317-0020
(301) 317-0028
Mailing address
PO BOX 639, LAUREL, MD 20725
(301) 317-0020
(301) 317-0028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0053060
MD
Other
Enumeration date
01/24/2007
Last updated
03/08/2013
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