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Individual
SANDRA L LEE
Active
Individual
SANDRA L LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209012818
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209012818
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710365176
—
WI
Enumeration date
05/18/2015
Last updated
01/22/2025
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