SHANE LEE

PHILADELPHIA, PA
NPI1104067651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology Vascular & Interventional Radiology
(Licence: PA  MD449493)
Additional Taxonomies2085R0202X Radiology Diagnostic Radiology
(Licence: PA  203BR0202X)
Enumeration Date2009-03-12
Last Update Date2018-09-11
Business Address
SHANE LEE MD
3401 N BROAD ST
PHILADELPHIA, PA 19140
Phone number: 215-707-7237
Mailing Address
SHANE LEE MD
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-7237