Individual
MRS. CATHERINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
225 GORDON RD, DALLAS, PA 18612-2406
(570) 855-4924
Mailing address
225 GORDON RD, DALLAS, PA 18612-2406
(570) 855-4924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN279663
PA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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