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Individual
LEE ANN CONDRON
Active
Individual
LEE ANN CONDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP112378
TX
363LA2100X
Acute Care Nurse Practitioner
533514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174262901
—
TX
01
—
8N8592
BLUECROSS AND BLUESHIELD OF TEXAS
TX
Enumeration date
12/15/2005
Last updated
05/09/2018
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