Dick, Mark Lee

Dick, Mark Lee is an individual health care provider with primary practice located at 10 Members Way Fl 5 , Dover NH 03820-5933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dick, Mark Lee can be contacted via phone (603) 609-6800.

Contact Information

Primary practice address
10 Members Way Fl 5 Dover NH 03820-5933
Phone: (603) 609-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 106644 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17500 New Hampshire

Profile Details

NPI number 1003806084
LBN Legal business name Dick, Mark Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003806084 NPPES
New Hampshire MEDICAID 3105753

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