Individual
JANET ANN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
12116 SERENITY LANE, MARRIOTTSVILLE, MD 21104-1324
(410) 442-0126
Mailing address
12116 SERENITY LANE, MARRIOTTSVILLE, MD 21104-1324
(410) 442-0126
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R112035
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454MH789
TRAILBLAZER
MD
05
—
642700600
—
MD
01
—
NBO4JA
BC AND BS
MD
01
—
S338
BC AND BS
MD
Enumeration date
06/28/2005
Last updated
03/14/2016
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