Individual
LEE JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7992
MN
Other
Enumeration date
01/30/2021
Last updated
05/11/2021
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