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Individual

DOUGLAS Y LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-5046
Mailing address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2497
(215) 728-3883
(215) 728-1185

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
1073
NE
2085R0001X
Radiation Oncology Physician
OS019478
PA
208D00000X
General Practice Physician
1073
NE

Other

Enumeration date
06/21/2012
Last updated
04/11/2024
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