Healthcare Provider Details

I. General information

NPI: 1336645159
Provider Name (Legal Business Name): FRANCIS LEE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 ELECTRIC AVE
FITCHBURG MA
01420-7954
US

IV. Provider business mailing address

33 ELECTRIC AVE STE 102
FITCHBURG MA
01420-7954
US

V. Phone/Fax

Practice location:
  • Phone: 978-343-7246
  • Fax: 978-343-7247
Mailing address:
  • Phone: 978-343-7246
  • Fax: 978-234-3072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberOS022671
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number0102207341
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: