| Lee Medical Group | |
|
7905 Malcolm Rd Clinton MD 20735-1734 | |
| (301) 877-9454 | |
| Not Available |
| Full Name | Lee Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 7905 Malcolm Rd, Clinton, Maryland |
| Authorized Official Name and Position | Caryl Matthew (DIR OF OPERATIONS) |
| Authorized Official Contact | 3018779454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Medical Group 3710 Riviera St Ste 2c Temple Hills MD 20748-1719 Ph: () - | Lee Medical Group 7905 Malcolm Rd Clinton MD 20735-1734 Ph: (301) 877-9454 |
| NPI Number | 1366600884 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366600884 | NPI | - | NPPES |
| 154002500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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