Jean, Lee Gardie

Jean, Lee Gardie is an individual health care provider with primary practice located at 5401 Old Court Rd , Randallstown MD 21133-5103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Jean, Lee Gardie can be contacted via phone (410) 701-4502.

Contact Information

Primary practice address
5401 Old Court Rd Randallstown MD 21133-5103
Phone: (410) 701-4502
Fax: (410) 521-7669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD424930 Pennsylvania
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD424930 Pennsylvania
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D56632 Maryland

Profile Details

NPI number 1346233624
LBN Legal business name Jean, Lee Gardie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Mar 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346233624 NPPES
Pennsylvania MEDICAID 101209096
Pennsylvania Other 1671431
Pennsylvania Other 20087292
Pennsylvania Other 271387
Pennsylvania Other 614218
Pennsylvania Other 1542467

Popular Providers