Individual
JOHN K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6930 BUSTLETON AVE, PHILADELPHIA, PA 19149-1805
(215) 268-8388
Mailing address
6930 BUSTLETON AVE, PHILADELPHIA, PA 19149-1805
(215) 268-8388
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN582630
PA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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