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JACQUELYN M LEE
2015 S BROADWAY B SAN LUIS SPORTS THERAPY SANTA MARIA CA 934547809

JACQUELYN M LEE is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1831462977. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2466615281. The primary specialty is PHYSICAL THERAPY. The organization is SAN LUIS PHYSICAL THERAPY AND ORTHOPEDIC REHABILITATION INC. The address is 2015 S BROADWAY B, SAN LUIS SPORTS THERAPY, SANTA MARIA, CA, 934547809. The zip code is 934547809.


Nation Provider ID1831462977
PAC ID by PECOS2466615281
Professional Enrollment IDI20120515000211
NameJACQUELYN M LEE
Medical School NameOTHER
Graduation Year2011
Primary SpecialtyPHYSICAL THERAPY
All secondary specialties
Organization NameSAN LUIS PHYSICAL THERAPY AND ORTHOPEDIC REHABILITATION INC
Group Practice PAC ID7618872946
Number of Group Practice members56
Address2015 S BROADWAY B, SAN LUIS SPORTS THERAPY, SANTA MARIA, CA, 934547809
Hospital affiliation LBN
Graduation Year2011
Contact Number8054409318
Email Address[Show_Email_ID]

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