Provider Demographics
NPI:1275961252
Name:LEE, CHRISTINE REBECCA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:REBECCA
Last Name:LEE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 WASHINGTON ST STE 201
Mailing Address - Street 2:DR WALTER LEE, M.D., P.C
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3511
Mailing Address - Country:US
Mailing Address - Phone:617-254-7473
Mailing Address - Fax:617-254-3141
Practice Address - Street 1:280 WASHINGTON ST STE 201
Practice Address - Street 2:DR WALTER LEE, M.D., P.C
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3511
Practice Address - Country:US
Practice Address - Phone:617-254-7473
Practice Address - Fax:617-254-3141
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2278001363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily