Individual
JESSICA NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3808 SW SANDSTONE DR, LEES SUMMIT, MO 64082-4833
(816) 809-4509
Mailing address
3808 SW SANDSTONE DR, LEES SUMMIT, MO 64082-4833
(816) 809-4509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05-37247
KS
207R00000X
Internal Medicine Physician
Primary
2014014081
MO
Other
Enumeration date
06/30/2011
Last updated
02/19/2024
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