Provider Demographics
NPI:1437166055
Name:SANDERS, LEE J (DPM)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:J
Last Name:SANDERS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1125 LINCOLN HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1518
Mailing Address - Country:US
Mailing Address - Phone:717-738-1632
Mailing Address - Fax:717-738-0736
Practice Address - Street 1:1700 S LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7529
Practice Address - Country:US
Practice Address - Phone:717-228-5952
Practice Address - Fax:717-228-5955
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC001565L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist