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Individual

JAE DU LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
5332 SEA ISLE RD, MEMPHIS, TN 38119-5908

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212852
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
31847
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/15/2022
Last updated
06/22/2022
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