Provider Demographics
NPI:1235279191
Name:LEE, HELENA (CA)
Entity Type:Individual
Prefix:MRS
First Name:HELENA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4035
Mailing Address - Country:US
Mailing Address - Phone:973-628-8335
Mailing Address - Fax:973-696-3741
Practice Address - Street 1:1318 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2025
Practice Address - Country:US
Practice Address - Phone:973-628-8335
Practice Address - Fax:973-696-3741
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMZ140171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist