Provider Demographics
NPI:1033533906
Name:LEES, JENNIFER
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:LEES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 BOSTON POST RD
Mailing Address - Street 2:STE 26
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3058
Mailing Address - Country:US
Mailing Address - Phone:978-443-3248
Mailing Address - Fax:
Practice Address - Street 1:410 BOSTON POST RD
Practice Address - Street 2:STE 26
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3058
Practice Address - Country:US
Practice Address - Phone:978-443-3248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA2025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor