Provider Demographics
NPI:1770773863
Name:LEE, JANET E
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:E
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 NORMAC RD
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2012
Mailing Address - Country:US
Mailing Address - Phone:781-721-7600
Mailing Address - Fax:781-721-7602
Practice Address - Street 1:27 NORMAC RD
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2012
Practice Address - Country:US
Practice Address - Phone:781-721-7600
Practice Address - Fax:781-721-7602
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA202984171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist