Individual
JULIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
377 PLANTATION ST, WORCESTER, MA 01605-2245
(972) 399-9280
Mailing address
CBOC-WPS, 377 PLANTATION ST., WORCESTER, MA 01605
(413) 584-4040
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1108
NV
213E00000X
Podiatrist
1873
TX
213E00000X
Podiatrist
Primary
2315
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013328
—
TX
05
—
201332804
—
TX
05
—
201332806
—
TX
05
—
201332807
—
TX
01
—
P01192557
RAILROAD MEDICARE
TX
Enumeration date
10/24/2008
Last updated
11/24/2023
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