Individual
DR. MARRISA LASHAEE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S PAULINA ST # MC850, CHICAGO, IL 60612-7210
(352) 682-5781
Mailing address
PO BOX 372, NEWBERRY, FL 32669-0372
(352) 682-5781
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
00000000
IL
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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