Individual
JENNIFER ANN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
3084 LINDSAY LN, PORT HURON, MI 48060-7777
(810) 984-8278
Mailing address
3084 LINDSAY LN, PORT HURON, MI 48060-7777
(810) 984-8278
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000382
MI
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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