Individual
ERICA D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 421-6705
Mailing address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 421-6705
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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