Individual
JULIA GOON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
750 WASHINGTON ST, BOSTON, MA 02111-1526
(617) 636-5241
Mailing address
27 LAGRANGE ST, CHESTNUT HILL, MA 02467-3001
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
197007
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1213288
—
MA
Enumeration date
05/16/2007
Last updated
07/08/2007
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