Individual
MISS LAUREN MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
276 KINGSBURY GRADE STE 101, STATELINE, NV 89449-9804
(775) 588-5000
Mailing address
PO BOX 5910, STATELINE, NV 89449-5910
(775) 588-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
014203
NY
Other
Enumeration date
09/04/2010
Last updated
11/22/2024
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