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Individual
JAEINE LEE
Active
Individual
JAEINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1026550
MA
207R00000X
Internal Medicine Physician
3015754
MA
207RN0300X
Nephrology Physician
Primary
1026550
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
08/04/2026
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