Provider Demographics
NPI:1902267396
Name:LEE, HOWARD DER-HAW (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:DER-HAW
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:GASTROENTEROLOGY CLINIC
Mailing Address - Street 2:1060 W PERIMETER RD
Mailing Address - City:JOINT BASE ANDREWS
Mailing Address - State:MD
Mailing Address - Zip Code:20762
Mailing Address - Country:US
Mailing Address - Phone:240-612-1560
Mailing Address - Fax:
Practice Address - Street 1:GASTROENTEROLOGY CLINIC
Practice Address - Street 2:1060 W PERIMETER RD
Practice Address - City:JOINT BASE ANDREWS
Practice Address - State:MD
Practice Address - Zip Code:20762
Practice Address - Country:US
Practice Address - Phone:240-612-1560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE30683207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine