Individual
JESSICA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4200 WHITEHALL DR STE 230, ANN ARBOR, MI 48105-9694
(734) 769-3896
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020023879
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/21/2017
Last updated
06/14/2023
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