Individual
STARLET LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
438 ORCHARD ST, YPSILANTI, MI 48197-5245
(313) 989-3188
Mailing address
438 ORCHARD ST, YPSILANTI, MI 48197-5245
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
501006163
MI
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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