Healthcare Provider Details

I. General information

NPI: 1013849629
Provider Name (Legal Business Name): SIERRA ELILZABETH LEE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TOWER OFFICE PARK STE U
WOBURN MA
01801-2127
US

IV. Provider business mailing address

101 MONMOUTH ST APT 201
BROOKLINE MA
02446-5611
US

V. Phone/Fax

Practice location:
  • Phone: 781-608-5196
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHI5239
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: