Individual
JESSICA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301
(484) 565-1510
(484) 565-1513
Mailing address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-1510
(484) 565-1513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD467817
PA
Other
Enumeration date
03/22/2016
Last updated
11/13/2019
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