Provider Demographics
NPI:1780650614
Name:LEE, JESSICA D (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:D
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:740 S LIMESTONE
Mailing Address - Street 2:J401
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-323-5661
Mailing Address - Fax:859-257-4999
Practice Address - Street 1:740 S LIMESTONE
Practice Address - Street 2:J401
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-5661
Practice Address - Fax:859-257-4999
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2022-04-27
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Provider Licenses
StateLicense IDTaxonomies
KY456072084N0400X, 2084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology