Individual
STEPHANIE D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1800
Mailing address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
25MB12462400
NJ
Other
Enumeration date
06/30/2022
Last updated
10/28/2024
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