Organization
BRENDAN LEE DCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN LEE DC (CHIROPRACTOR)
(312) 909-5825
Entity
Organization
Contact information
Practice address
980 FOREST AVE, SUITE 102, PORTLAND, ME 04103-3388
(312) 909-5825
(877) 575-6373
Mailing address
288 STATE ST, APT. 10, PORTLAND, ME 04101-2347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR2164
ME
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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