Provider Demographics
NPI:1770872970
Name:LEE, MARSHALA RYNETTE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MARSHALA
Middle Name:RYNETTE
Last Name:LEE
Suffix:
Gender:F
Credentials:MD, MPH
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Other - Credentials:
Mailing Address - Street 1:5600 FISHERS LN
Mailing Address - Street 2:DEPARTMENT OF MEDICINE AND DENTISTRY
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1750
Mailing Address - Country:US
Mailing Address - Phone:662-299-7885
Mailing Address - Fax:
Practice Address - Street 1:5600 FISHERS LN
Practice Address - Street 2:DEPARTMENT OF MEDICINE AND DENTISTRY
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1750
Practice Address - Country:US
Practice Address - Phone:301-443-8681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA261151207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine