Provider Demographics
NPI:1770977274
Name:LEES, REBECCA JANE
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:JANE
Last Name:LEES
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 1:60 DEVENS ST
Mailing Address - Street 2:#1
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2852
Mailing Address - Country:US
Mailing Address - Phone:413-522-6823
Mailing Address - Fax:
Practice Address - Street 1:108 N MAIN ST # MA
Practice Address - Street 2:A
Practice Address - City:SUNDERLAND
Practice Address - State:MA
Practice Address - Zip Code:01375-9502
Practice Address - Country:US
Practice Address - Phone:413-665-8717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist