Individual
BEAU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2900 N BURTON ST, BOISE, ID 83704-5314
(208) 818-3459
Mailing address
2900 N BURTON ST, BOISE, ID 83704-5314
(208) 818-3459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63085
ID
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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