Provider Demographics
NPI:1427454032
Name:LEE, JEE S (LPN)
Entity type:Individual
Prefix:MISS
First Name:JEE
Middle Name:S
Last Name:LEE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 BAY 43RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-5504
Mailing Address - Country:US
Mailing Address - Phone:347-296-9729
Mailing Address - Fax:718-449-2978
Practice Address - Street 1:88 BAY 43RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-5504
Practice Address - Country:US
Practice Address - Phone:347-296-9729
Practice Address - Fax:718-449-2978
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7226180164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse