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General NPI Number Information
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NPI Number | 1518953074
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Entity Type | Individual
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Provider Name | JOSEPH I LEE MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 06/17/2023
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Provider Practice Location Address
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Address Line | 6500 ROCK SPRING DR STE 105
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City | BETHESDA
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State | MD
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Zip | 20817-1154
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Country | US
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Telephone | 301-530-8300
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Fax | 301-530-4638
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Provider Business Mailing Address
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Address Line | 3340 ROBINWOOD RD STE 100-534
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City | GASTONIA
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State | NC
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Zip | 28054-6689
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Country | US
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Telephone | 980-233-3234
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D0051599
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | D0051599
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License Number State | MD
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