Provider Demographics
NPI:1043662273
Name:LEES, DAVID ERIC (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ERIC
Last Name:LEES
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 1:5864 MARBURY RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6076
Mailing Address - Country:US
Mailing Address - Phone:301-229-6755
Mailing Address - Fax:301-229-6755
Practice Address - Street 1:5864 MARBURY RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-6076
Practice Address - Country:US
Practice Address - Phone:301-229-6755
Practice Address - Fax:301-229-6755
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0024792207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA57-5038-5Medicaid
MD089621700Medicaid
DCC09797Medicare UPIN