Individual
LISE G LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1005 MISSISSIPPI AVE UNIT E, SAINT LOUIS, MO 63104-2475
(608) 345-9957
Mailing address
1005 MISSISSIPPI AVE UNIT E, SAINT LOUIS, MO 63104-2475
(608) 345-9957
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.146492
IL
Other
Enumeration date
07/21/2011
Last updated
07/23/2023
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