Provider Demographics
NPI:1548684459
Name:DR JENNIFER LEES LLC
Entity type:Organization
Organization Name:DR JENNIFER LEES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-443-3248
Mailing Address - Street 1:410 BOSTON POST RD
Mailing Address - Street 2:STE 26
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3058
Mailing Address - Country:US
Mailing Address - Phone:978-443-3248
Mailing Address - Fax:
Practice Address - Street 1:410 BOSTON POST RD
Practice Address - Street 2:STE 26
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3058
Practice Address - Country:US
Practice Address - Phone:978-443-3248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA2025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty