Healthcare Provider Details

I. General information

NPI: 1699900571
Provider Name (Legal Business Name): JANET MARY LEES P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 05/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1149 STONE DR SUITE 500
HARRISON OH
45030-2763
US

IV. Provider business mailing address

1149 STONE DRIVE SUITE 500
HARRISON OH
45030
US

V. Phone/Fax

Practice location:
  • Phone: 513-367-9299
  • Fax: 513-367-1704
Mailing address:
  • Phone: 513-367-9299
  • Fax: 513-367-1704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number3438
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: