Jacqueline J Lee
Cardiothoracic Vascular Surgeon
1000 E Mountain Blvd
Wilkes Barre
, Pennsylvania 18711-0027
Jacqueline J Lee
Cardiothoracic Vascular Surgeon
1000 E Mountain Blvd
Wilkes Barre
, Pennsylvania 18711-0027
(570) 271-6144
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jacqueline J Lee
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-4903
- Phone : (570) 271-6144
Second Address
- Jacqueline J Lee
- 1000 E Mountain Blvd
- Wilkes Barre, PA
- Zip : 18711-0027
- Fax : (570) 808-2306
- Phone : (570) 808-6020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD449741 | PA |
National Provider Identifier
| NPI | 1124230560 |
|---|---|
| Provider Name | Jacqueline J Lee |
| First Address | Danville, PA 17822-4903 |
| Second Address | Wilkes Barre, PA 18711-0027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2007 |
| Last Update Date | 20/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.