Individual
JASON Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9000
Mailing address
16203 BLACKBERRY CRK, BURTON, MI 48519-1925
(650) 278-1101
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4301103825
MI
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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