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Individual
MRS. SUSIE K LEE
Active
Individual
MRS. SUSIE K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
410162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13264
FURNISHING LICENSE
CA
01
—
410162
RN LICENSE
CA
Enumeration date
04/09/2007
Last updated
03/07/2023
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