Individual
PO JUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1 MAGUIRE RD, LEXINGTON, MA 02421-3114
(781) 860-1742
Mailing address
101 AMESBURY ST FL 3, LAWRENCE, MA 01840-1323
(949) 742-1789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76976-SP-SL
MA
Other
Enumeration date
07/02/2018
Last updated
02/08/2019
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