CHANG SU LEE

EPHRATA, PA
NPI1720182132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: PA  OS012276)
Enumeration Date2006-09-08
Last Update Date2007-07-08
Business Address
-- CHANG SU LEE DO
169 MARTIN AVENUE
EPHRATA, PA 17522
Phone number: 717-859-4533
Mailing Address
-- CHANG SU LEE DO
PO BOX 815 169 MARTIN AVENUE
EPHRATA, PA 17522
Phone number: 717-859-4533
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