Provider Demographics
NPI:1528394525
Name:LEE, STEPHANIE BETH (PA-C, MPH)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:BETH
Last Name:LEE
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Gender:F
Credentials:PA-C, MPH
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Mailing Address - Street 1:387 QUARRY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1025
Mailing Address - Country:US
Mailing Address - Phone:508-679-8111
Mailing Address - Fax:
Practice Address - Street 1:387 QUARRY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1025
Practice Address - Country:US
Practice Address - Phone:508-679-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2013-01-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant