MEDICARE: DR. CHRISTINE LEE SEARS 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	208800000X	Urology Physician	51738	VA
2	2088F0040X	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	51738	VA

General Provider Information

NPI Number	:	1972599918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE LEE SEARS M.D.

Provider Business Mailing Address
First Line	:	DEPARTMENT OF UROLOGY NATIONAL NAVAL MEDICAL CENTE
Second Line	:	8901 WISCONSIN AVE
City	:	BETHESDA
State	:	MD
Zip	:	20889-0001
Country	:	US
Telephone Number	:	301-295-4271
Fax Number	:	301-295-4280

Provider Business Practice Location Address
First Line	:	NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA ST
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98278-0001
Country	:	US
Telephone Number	:	603-257-9974
Fax Number	:

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	01/11/2019

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