MEDICARE: DR. ANNETTE LEE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	MD430531	PA
2	207VE0102X	Reproductive Endocrinology Physician	MA65864	NJ

General Provider Information

NPI Number	:	1982639746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE LEE M.D.

Provider Business Mailing Address
First Line	:	700 HORIZON DR
Second Line	:	SUITE 202
City	:	CHALFONT
State	:	PA
Zip	:	18914-3967
Country	:	US
Telephone Number	:	215-822-8400
Fax Number	:	215-822-8099

Provider Business Practice Location Address
First Line	:	700 HORIZON DR
Second Line	:	SUITE 202
City	:	CHALFONT
State	:	PA
Zip	:	18914-3967
Country	:	US
Telephone Number	:	215-822-8400
Fax Number	:	215-822-8099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	12/02/2009

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