Provider Demographics
NPI:1700498201
Name:LEA, CHRISTOPHER ERIC (MLS (ASCP)CM)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ERIC
Last Name:LEA
Suffix:
Gender:M
Credentials:MLS (ASCP)CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7250 SAND BAR RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-7996
Mailing Address - Country:US
Mailing Address - Phone:409-363-0170
Mailing Address - Fax:
Practice Address - Street 1:3420 PLAZA CIR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-2552
Practice Address - Country:US
Practice Address - Phone:409-981-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240234246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist