Organization
J. T. LEE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN T LEE M.D. (PRESIDENT)
(410) 939-2840
Entity
Organization
Contact information
Practice address
669 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3319
(410) 939-2840
(410) 939-2329
Mailing address
669 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3319
(410) 939-2840
(410) 939-2329
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0020661
MD
302R00000X
Health Maintenance Organization
Primary
D0020661
MD
Other
Enumeration date
05/20/2006
Last updated
09/11/2025
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