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Individual
JASON E LEE
Active
Individual
JASON E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027133120001
—
PA
05
—
1027133120003
—
PA
05
—
1027133120005
—
PA
Enumeration date
07/05/2009
Last updated
05/04/2023
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