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Irvin Lee, C.R.N.A.

Specialist in Baltimore, MD. Individual provider (NPI-1).

NPI number1841297280
StatusActive
Last updated in NPPESJun 6, 2018

Details

NPI
1841297280
Entity type
Individual (NPI-1)
Name
Irvin Lee
Credential
C.R.N.A.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 30, 2005
Last updated
Jun 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistR163033MDYes

Practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Phone 410-601-5209

Mailing address

Po Box 3038
Pinedale, CA 93650-3038

Phone 559-436-0871 · Fax 559-436-5221

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