Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 257088-1 | NY |
Y | 207N00000X | Dermatologist | 390200000X | MD |
N | 207ND0101X | MOHS-Micrographic Surgeon | 257088-1 | NY |
N | 207NS0135X | Procedural Dermatology | 257088-1 | NY |
NPI | 1427263441 |
---|---|
Provider Name | Dr. David Alvin Lee |
First Address | Bethesda, MD 20817-2949 |
Second Address | Damascus, MD 20872-1829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2007 |
Last Update Date | 15/01/2020 |