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1558514315

NPI Code Detail

MEDICARE: JULIE LEE DPM

MEDICARE: JULIE LEE DPM

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	213E00000X	Podiatrist	1108	NV
2	213E00000X	Podiatrist	1873	TX
3	213E00000X	Podiatrist	2315	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01192557	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558514315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE LEE DPM

Provider Business Mailing Address
First Line	:	CBOC-WPS
Second Line	:	377 PLANTATION ST.
City	:	WORCESTER
State	:	MA
Zip	:	01605
Country	:	US
Telephone Number	:	413-584-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	377 PLANTATION ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01605-2245
Country	:	US
Telephone Number	:	972-399-9280
Fax Number	:

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

Provider Enumeration Date	:	10/24/2008
Last Update Date	:	11/24/2023

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Directions to “ JULIE LEE DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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