Individual
JOHANNA M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
115B PLEASANT ST, CAMBRIDGE, MA 02139-4412
(201) 421-7864
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
291961
MA
207LP3000X
Pediatric Anesthesiology Physician
291961
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2018
Last updated
08/31/2023
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