Provider Demographics
NPI:1376763730
Name:LEE, SONJA ROSBERG (LMT)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:ROSBERG
Last Name:LEE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 BEDFORD ST.
Mailing Address - Street 2:LEXINGTON HEALTH COLLABORATIVE SUITE 2
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420
Mailing Address - Country:US
Mailing Address - Phone:781-862-0898
Mailing Address - Fax:
Practice Address - Street 1:238 BEDFORD ST.
Practice Address - Street 2:LEXINGTON HEALTH COLLABORATIVE SUITE 2
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420
Practice Address - Country:US
Practice Address - Phone:781-862-0898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor