Individual
DIANNA JINJOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 HUNTINGTON AVE, BOSTON, MA 02115-5005
(617) 373-2000
Mailing address
9 MOUNT VERNON ST APT 1, DORCHESTER, MA 02125-1791
(631) 512-2168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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