Individual
DR. LEE JON FOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2184 MAIN ST, STRATFORD, CT 06615-5937
(203) 378-9002
(203) 375-0336
Mailing address
2184 MAIN ST, STRATFORD, CT 06615-5937
(203) 378-9002
(203) 375-0336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039202
CT
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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