Individual
JASON H LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-4210
(920) 262-4360
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-4210
(920) 262-4360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43153
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34131100
—
WI
Enumeration date
03/07/2006
Last updated
07/08/2007
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