Organization
BRIAN J LEE, MD, LLC
Active
Other names
Maryland Oculoplastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JEN LEE MD (OWNER)
(410) 978-9796
Entity
Organization
Contact information
Practice address
3290 N RIDGE RD STE 250, ELLICOTT CITY, MD 21043-3659
(410) 978-9796
Mailing address
2633 GOLF ISLAND RD, ELLICOTT CITY, MD 21042-2287
(410) 978-9796
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043386100
—
MD
Enumeration date
11/13/2018
Last updated
06/11/2019
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