| Jessica Lee, Pllc | |
|
1411 W Saint Germain St Ste 202 Saint Cloud MN 56301-4180 | |
| (320) 761-3644 | |
| Not Available |
| Full Name | Jessica Lee, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1411 W Saint Germain St Ste 202, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Jessica Louise Lee (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 3207613644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lee, Pllc 1411 W Saint Germain St Ste 202 Saint Cloud MN 56301-4180 Ph: () - | Jessica Lee, Pllc 1411 W Saint Germain St Ste 202 Saint Cloud MN 56301-4180 Ph: (320) 761-3644 |
| NPI Number | 1376318873 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 3375987647 |
|---|---|
| Medicare Enrollment ID | O20240215000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376318873 | NPI | - | NPPES |
| Provider Name | Emily Marie Luitjens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245587252 PECOS PAC ID: 2365695020 Enrollment ID: I20130104000392 |
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