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Individual
SHELLY C. LEE
Active
Individual
SHELLY C. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
660005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192069601
—
TX
01
—
88426U
BCBS
TX
01
—
P00639234
RR MEDICARE
TX
Enumeration date
09/18/2007
Last updated
12/08/2010
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