Individual
JANELLE J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
704 S WEBSTER AVE, GREEN BAY, WI 54301-3528
(920) 433-3456
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77896-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77896-20
WISCONSIN LICENSE
WI
Enumeration date
06/19/2012
Last updated
05/18/2023
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