Individual
JONATHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5113 SE 15TH ST STE A, DEL CITY, OK 73115-3952
(405) 600-3252
Mailing address
2505 NE 19TH ST, OKLAHOMA CITY, OK 73111-1813
(405) 326-1176
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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