MEDICARE: MS. STEPHANIE BETH LEE PA-C, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1528394525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE BETH LEE PA-C, MPH

Provider Business Mailing Address
First Line	:	387 QUARRY ST
Second Line	:	SUITE 100
City	:	FALL RIVER
State	:	MA
Zip	:	02723-1025
Country	:	US
Telephone Number	:	508-679-8111
Fax Number	:

Provider Business Practice Location Address
First Line	:	387 QUARRY ST
Second Line	:	SUITE 100
City	:	FALL RIVER
State	:	MA
Zip	:	02723-1025
Country	:	US
Telephone Number	:	508-679-8111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2009
Last Update Date	:	03/03/2026

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