Individual
DR. JASON M LEE-LLACER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0064818
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042
CAREFIRST
—
01
—
145724700
DEPT. OF LABOR
—
01
—
1503640
AETNA HMO
—
01
—
206362
JHHC
—
01
—
263508
KAISER
—
01
—
318699
AMERIGROUP
—
05
—
412132500
—
MD
01
—
7132906
AETNA PPO
—
01
—
89550101
CAREFIRST
—
Enumeration date
12/22/2006
Last updated
06/09/2008
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