Individual
DR. PHILIP S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-3290
(570) 808-3298
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD463987
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103521630
—
PA
01
—
14258733
CAQH
—
Enumeration date
06/30/2011
Last updated
07/13/2021
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