Individual
MICHAEL JASON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PAR LN STE 102, ELIZABETHTOWN, KY 42701-9023
(270) 320-2605
Mailing address
100 PAR LN STE 102, ELIZABETHTOWN, KY 42701-9023
(270) 320-2605
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
11/14/2023
Last updated
11/17/2023
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