# LEE CHIROPRACTIC CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811169295
- **Authorized official:** THAI LEE D.C. (CHIROPRACTOR)
- **Authorized official phone:** (414) 431-7101

## Contact information

- **Practice address:** 6524 W CAPITOL DR, MILWAUKEE, WI 53216-2038
- **Practice address phone:** (414) 431-7101
- **Practice address fax:** (414) 431-7102
- **Mailing address:** 6524 W CAPITOL DR, MILWAUKEE, WI 53216-2038
- **Mailing address phone:** (414) 431-7101
- **Mailing address fax:** (414) 431-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 3882-012 | WI | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 03/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1497813364 | PERSONAL NPI NUMBER | WI |
| 05 | — | 38942400 | — | WI |