Individual
JANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE., MLC 2008, CINCINNATI, OH 45229
(513) 636-7966
(513) 636-7967
Mailing address
3333 BURNET AVE., MLC 2008, CINCINNATI, OH 45229-3026
(513) 636-7966
(513) 636-7967
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.135616
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35.135616
OH
Other
Enumeration date
06/17/2013
Last updated
07/19/2019
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