Provider Demographics
NPI:1518014935
Name:LEE ONCOLOGY, PA
Entity Type:Organization
Organization Name:LEE ONCOLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KWOK
Authorized Official - Middle Name:C
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-694-5517
Mailing Address - Street 1:PO BOX 1797
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-0797
Mailing Address - Country:US
Mailing Address - Phone:301-695-6555
Mailing Address - Fax:301-695-7750
Practice Address - Street 1:501 W 7TH ST
Practice Address - Street 2:STE. 2
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4507
Practice Address - Country:US
Practice Address - Phone:301-694-5517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00240312085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD409689400Medicaid
MD197PMedicare ID - Type Unspecified
MD409689400Medicaid