NPI 1023642758

Ian David Lee, PHARMACYSTUDENT

Practitioner Student in an Organized Health Care Education/Training Program Madawaska, ME

Practice location

Address: 205 21st Avenue, Madawaska, ME 04756
Phone: (207) 316-3407

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence PI46361 (ME)

Other Student in an Organized Health Care Education/Training Program providers in Maine →

Registry record

NPI: 1023642758
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2020
Record last updated: 3 Mar 2020

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.