Individual
JACQUELYNN T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2724 N TENAYA WAY FL 2, LAS VEGAS, NV 89128-0424
(702) 671-5110
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2024013118
MO
208200000X
Plastic Surgery Physician
27630
NV
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
27630
NV
2086S0122X
Plastic and Reconstructive Surgery Physician
BP1-0063431
TX
Other
Enumeration date
04/09/2018
Last updated
08/27/2025
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