Lee, Mark Robert

Lee, Mark Robert is an individual health care provider with primary practice located at 40 Medical Park Ste 508 , Wheeling WV 26003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Lee, Mark Robert can be contacted via phone (304) 243-8916.

Contact Information

Primary practice address
40 Medical Park Ste 508 Wheeling WV 26003
Phone: (304) 243-8916
Fax: (304) 243-7194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 28512 West Virginia
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 039151 Georgia
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 27496 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X N2167 Texas
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X N2167 Texas

Profile Details

NPI number 1861413536
LBN Legal business name Lee, Mark Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Feb 9th, 2022 - about 2 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 1861413536 NPPES
Georgia MEDICAID 000618032E
Georgia Other GRP8134

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