Provider Demographics
NPI:1316234263
Name:GUO, LEE J (DO)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:J
Last Name:GUO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:255 W LANCASTER AVE MOB 2 STE 120
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301
Mailing Address - Country:US
Mailing Address - Phone:610-644-9456
Mailing Address - Fax:610-644-5203
Practice Address - Street 1:255 W LANCASTER AVE MOB 2 STE 120
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1755
Practice Address - Country:US
Practice Address - Phone:610-644-9456
Practice Address - Fax:610-644-5203
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS017049207R00000X
PAOT013945207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine