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Individual
ALICE LEE
Active
Individual
ALICE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
NONE
NJ
2086S0129X
Vascular Surgery Physician
Primary
5101024392
MI
Other
Enumeration date
07/11/2012
Last updated
02/26/2021
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