Provider Demographics
NPI:1649275751
Name:LEE, CHRISTOPHER J (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:LEE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3500 DULUTH PARK LN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3242
Mailing Address - Country:US
Mailing Address - Phone:770-622-4400
Mailing Address - Fax:770-622-7766
Practice Address - Street 1:3500 DULUTH PARK LN
Practice Address - Street 2:SUITE 210
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3242
Practice Address - Country:US
Practice Address - Phone:770-622-4400
Practice Address - Fax:770-622-7766
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2022-08-09
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Provider Licenses
StateLicense IDTaxonomies
NY234405207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH85187Medicare UPIN