Individual
MS. JEANIE JANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 N CLASSEN BLVD, SUITE 214, OKLAHOMA CITY, OK 73106-6835
(405) 269-1887
(405) 601-6711
Mailing address
1330 N CLASSEN BLVD, SUITE 214, OKLAHOMA CITY, OK 73106-6835
(405) 269-1887
(405) 601-6711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050379185
—
OK
Enumeration date
05/17/2013
Last updated
05/17/2013
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