Lee, Philip S

Lee, Philip S is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Lee, Philip S can be contacted via phone (570) 808-3290.

Contact Information

Primary practice address
1000 E Mountain Blvd Wilkes Barre PA 18711-0027
Fax: (570) 808-3298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD463987 Pennsylvania

Profile Details

NPI number 1972890879
LBN Legal business name Lee, Philip S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2011
Last updated Jul 13th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972890879 NPPES
Pennsylvania MEDICAID 103521630
Pennsylvania Other 14258733

Popular Providers