DR. ANDREW EDDIE LEE M.D. NPI 1780034140

NPI Information

NPI: 1780034140
Provider Name: DR. ANDREW EDDIE LEE, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
420 S 5TH AVE
WEST READING, PA
ZIP 19611
Phone: (484) 628-8000
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DR. Andrew Eddie Lee, M.D. is a student in an organized health care education training program in West Reading, PA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Andrew Eddie Lee, M.D. NPI is 1780034140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 S 5TH AVE
WEST READING, PA
ZIP 19611-143
Phone: (484) 628-8000

The NPI 1780034140 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2016 and was last updated on 6/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD466950	PENNSYLVANIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		MT211117	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MT211117	OTHER	PENNSYLVANIA	PENNSYLVANIA DEPARTMENT OF STATE - MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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