Individual
DR. JESSICA TRACY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 SPRUCE ST, 839 WEST GATES, PHILADELPHIA, PA 19104-4206
(215) 614-0871
Mailing address
3600 SPRUCE ST, 839 WEST GATES, PHILADELPHIA, PA 19104-4206
(215) 614-0871
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD465147
PA
Other
Enumeration date
06/04/2014
Last updated
07/16/2019
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