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Lateace Lee

  • Female

Medical Specialty

Professional ID

  • NPI: 1245558634
  • PECOS ID: 6406123850
  • Enrollment ID: I20170606002547
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2011

Medical Practices

  • Organization Name: Townhall Ii Inc.
  • Group Practice ID assigned by PECOS: 0749330538
  • Number of Group Practice member: 0

Location

  • Address1: 155 N Water St
  • Address2:
  • City: Kent
  • State: Ohio
  • Zip Code: 44240
  • Phone Number: (330)678-3006

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):