Lee, Jacqueline
Lee, Jacqueline is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Lee, Jacqueline can be contacted via phone (414) 337-7050.Contact Information
Primary practice address
9000 W Wisconsin Ave
Milwaukee WI 53226-4874
Phone: (414) 337-7050
Fax: (414) 337-7020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 72041 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 72041 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 72041 | Wisconsin |
Profile Details
| NPI number | 1831695006 |
|---|---|
| LBN Legal business name | Lee, Jacqueline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2018 |
| Last updated | Oct 8th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831695006 | NPPES |
| Wisconsin | MEDICAID | 1831695006 |
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