Individual
KA RAM LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR19705200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15527800
NJ
Other
Enumeration date
02/13/2026
Last updated
03/11/2026
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