Provider Demographics
NPI:1427263441
Name:LEE, DAVID ALVIN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALVIN
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8510 BEECH TREE RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2949
Mailing Address - Country:US
Mailing Address - Phone:301-253-1100
Mailing Address - Fax:301-825-5163
Practice Address - Street 1:26215 RIDGE RD
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-1829
Practice Address - Country:US
Practice Address - Phone:301-253-1100
Practice Address - Fax:301-825-5163
Is Sole Proprietor?:No
Enumeration Date:2007-05-12
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257088-1207N00000X, 207ND0101X, 207NS0135X
MD390200000X207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology