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Individual
MR. PAUL ALLEN LEE
Active
Individual
MR. PAUL ALLEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
050161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00746993
MEDICARE RAILROAD
FL
Enumeration date
06/22/2005
Last updated
10/26/2009
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