Individual
JANELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1680 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 651-5675
Mailing address
1680 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 651-5675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66028
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2019
Last updated
09/11/2022
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