Individual
JENNIFER MAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6220 W BELL RD STE 100, GLENDALE, AZ 85308-3896
(602) 547-7300
Mailing address
6220 W BELL RD STE 100, GLENDALE, AZ 85308-3896
(602) 547-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012153
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R3964
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
05/19/2026
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