Individual
JONATHAN J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
283687
MA
207ND0900X
Dermatopathology Physician
Primary
283687
MA
207R00000X
Internal Medicine Physician
264116
MA
Other
Enumeration date
06/29/2015
Last updated
01/26/2021
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