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Individual

JENNIFER KIM LEE-SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21205-2101
(410) 979-5000
Mailing address
14207 SUMMIT LN, LAUREL, MD 20708-3204
(410) 979-5933

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D62898
MD
207L00000X
Anesthesiology Physician
T1011
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027999400
MD
Enumeration date
01/30/2007
Last updated
06/15/2010
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