Individual
MARY MARGARET LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
400 E GRAY ST, LOUISVILLE, KY 40202-1740
(502) 574-6511
Mailing address
307 HIGHWOOD DR, LOUISVILLE, KY 40206-3268
(501) 454-6111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8871
KY
Other
Enumeration date
06/28/2010
Last updated
02/16/2011
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