NPI 1164503561

Jennifer Annette Lee, MTASCP

Practitioner Medical Technologist Winston-Salem, NC

Practice location

Address: 190 Kimel Park Drive VA Outpatient Clinic, Winston-Salem, NC 27103
Phone: (336) 768-3296
Fax: (336) 760-5481
Mailing address: 355 Park Ave, Mocksville, NC 27028-2143

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence MT-175524 (SC)

Other Specialist/Technologist, Pathology providers in North Carolina →

Registry record

NPI: 1164503561
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.