Individual
LATONYA L. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
7210 W MAIN ST STE 204, BELLEVILLE, IL 62223-3038
(618) 398-9850
Mailing address
7210 W MAIN ST STE 204, BELLEVILLE, IL 62223-3038
(618) 398-9850
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
223457
IL
Other
Enumeration date
02/16/2023
Last updated
12/24/2025
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