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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831695006 NPPES
Wisconsin MEDICAID 1831695006

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