Lee Jon Forest D.O.

NPI 1083648125 - Family Medicine - 207Q00000X

NPI Details
NPI 1083648125
Gender Male
Enumeration Date 07/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2184 MAIN ST
STRATFORD CT, 06615-5937, US
Phone (203) 378-9002
Fax (203) 375-0336
Business Location
2184 MAIN ST
STRATFORD CT, 06615-5937, US
Phone (203) 378-9002
Fax (203) 375-0336
Toxanomy
Taxonomy Code 207Q00000X
License State Connecticut
License Number 039202
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According to our database, Dr. Lee Jon Forest D.O. NPI is 1083648125, taxonomy code is 207Q00000X and license number is 039202, license state is located at Connecticut. Lee Jon Forest D.O. physically located at 2184 Main St, Stratford CT, 06615-5937. NPI Number Lee Jon Forest D.O. has the Individual type.

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1083648125 NPI number is provided on an as is basis without warranty of any kind. 1083648125 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Jon Forest D.O. are for informational purposes only.