Most Relevant Information
Provider Data
| NPI Number: | 1003836768 |
| Provider Name: | MENG-CHAO LEE D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207QH0002X |
| Specialty: | Family Medicine |
| License Number: | OS012030 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 05/14/2021 |
Provider Practice Location
7500 CENTRAL AVE STE 104
PHILADELPHIA
PA
191112431
Practice Location Phone/Fax
| Phone: | 2157420712 |
| Fax: | 2157425218 |
Provider Mailing Location
2450 W HUNTING PARK AVE
2ND TPI
PHILADELPHIA
PA
191291302
Provider Mailing Phone/Fax
| Phone: | 2159269010 |
| Fax: | 2152268285 |