Provider Demographics
NPI:1598004913
Name:LEE, APRIL JUNE (DC)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:JUNE
Last Name:LEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14470 SOLOMONS ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:SOLOMONS
Mailing Address - State:MD
Mailing Address - Zip Code:20688-1269
Mailing Address - Country:US
Mailing Address - Phone:812-532-9009
Mailing Address - Fax:
Practice Address - Street 1:14350 SOLOMONS ISLAND RD SUITE 103A
Practice Address - Street 2:
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688-1269
Practice Address - Country:US
Practice Address - Phone:410-394-1000
Practice Address - Fax:410-394-6800
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03729111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD275103YF9ZOtherGROUP MEMBER PTAN
MD297M403FMedicare PIN