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Individual

JEAN D LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD28546
OR
207R00000X
Internal Medicine Physician
MD430332
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024207
OR
01
P00672648
RR MEDICARE-PH&S
OR
Enumeration date
05/22/2007
Last updated
10/20/2020
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