Basic Information
| Provider Information | |||||||||
| NPI: | 1467619106 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEE | ||||||||
| FirstName: | JONATHAN | ||||||||
| MiddleName: | H | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1327 | ||||||||
| Address2: | |||||||||
| City: | LACONIA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032471327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035243211 | ||||||||
| FaxNumber: | 6035277038 | ||||||||
| Practice Location | |||||||||
| Address1: | 14 MAPLE STREET | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | GILFORD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032496578 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035289100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2008 | ||||||||
| LastUpdateDate: | 07/22/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 237818 | NY | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 16181 | NH | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.