NPI 1013946540

Lee R Carrasco, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Philadelphia, PA

Practice location

Address: 3400 Spruce Street 5 White Building, Philadelphia, PA 19104
Phone: (215) 662-3580

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence MD418924 (PA)

Other Oral & Maxillofacial Surgery providers in Pennsylvania →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DS031585L (PA)

Registry record

NPI: 1013946540
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2006
Record last updated: 10 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.