Individual
JOHANNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE # LG065, FARMINGTON, CT 06030-0001
(860) 679-4988
(860) 679-3489
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1921
(860) 679-1921
(860) 679-4624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82574
CT
Other
Enumeration date
09/15/2020
Last updated
09/03/2025
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