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Individual
SUSAN K LEE
Active
Individual
SUSAN K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000426A
IN
363LF0000X
Family Nurse Practitioner
Primary
71000426
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119700
—
IN
Enumeration date
06/16/2005
Last updated
08/26/2022
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