Individual
GWENDOLYN LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
411 OAK ST, ATTN: CREDENTIALS, CINCINNATI, OH 45219-2598
(513) 984-1800
(513) 984-4909
Mailing address
1020 S PARK DR, PETERSBURG, VA 23805-2306
(804) 957-6440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024166548
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
F303243-1
NY
Other
Enumeration date
05/03/2006
Last updated
09/11/2025
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