Individual
EDWARD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1701 WELLNESS WAY STE 200, LAS VEGAS, NV 89106-4146
(702) 310-9110
Mailing address
1701 WELLNESS WAY STE 200, LAS VEGAS, NV 89106-4146
(702) 310-9110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA3086
NV
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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