Individual
MARK THOMAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7525 N ETHAN ALLAN PL, TUCSON, AZ 85741-2125
(520) 403-3851
Mailing address
7525 N ETHAN ALLAN PL, TUCSON, AZ 85741-2125
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188492
CERTIFICATION
AZ
Enumeration date
04/19/2022
Last updated
04/19/2022
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