Provider Demographics
NPI:1235678673
Name:LEE, JULIANN J (CPM, LMW, PHD, R-DHM)
Entity type:Individual
Prefix:DR
First Name:JULIANN
Middle Name:J
Last Name:LEE
Suffix:
Gender:F
Credentials:CPM, LMW, PHD, R-DHM
Other - Prefix:
Other - First Name:JULIANN
Other - Middle Name:DANIELLE
Other - Last Name:JERNIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:339 DEERTRACK RUN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-6502
Mailing Address - Country:US
Mailing Address - Phone:803-567-3661
Mailing Address - Fax:
Practice Address - Street 1:800 COLUMBIANA DR STE 116
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7782
Practice Address - Country:US
Practice Address - Phone:803-567-3661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X, 174H00000X, 374J00000X
SC024781146L00000X
SCLMW-0116176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No171400000XOther Service ProvidersHealth & Wellness Coach
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula