Provider Demographics
NPI:1225290539
Name:CORYELL, LEE ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:ARTHUR
Last Name:CORYELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1786 HARMONYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-8551
Mailing Address - Country:US
Mailing Address - Phone:610-804-6218
Mailing Address - Fax:
Practice Address - Street 1:1786 HARMONYVILLE RD
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-8551
Practice Address - Country:US
Practice Address - Phone:610-804-6218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4443362085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology