Provider Demographics
NPI:1356564231
Name:LEE, JOYCE E (NP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:E
Last Name:LEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:PANAYIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:230 WORCESTER ST
Mailing Address - Street 2:HARVARD VANGAURD MEDICAL ASSOCIATES
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-5420
Mailing Address - Country:US
Mailing Address - Phone:781-431-5429
Mailing Address - Fax:781-431-5548
Practice Address - Street 1:230 WORCESTER ST
Practice Address - Street 2:HARVARD VANGUARD MEDICAL ASSOCIATES OB/GYN
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-5420
Practice Address - Country:US
Practice Address - Phone:781-431-5429
Practice Address - Fax:781-431-5429
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA268952363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner