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Individual
MS. PENNY G LEE
Active
Individual
MS. PENNY G LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
ARNP494212
FL
363L00000X
Nurse Practitioner
Primary
ARNP494212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306986900
—
FL
Enumeration date
05/23/2005
Last updated
05/20/2013
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