Individual
MRS. LISA LYNNE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
42864 GALAXY DR, ELYRIA, OH 44035-2064
(440) 324-7986
Mailing address
42864 GALAXY DR, ELYRIA, OH 44035-2064
(440) 324-6334
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN-263663
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN-263663
REGISERED NURSE LICENSURE
OH
Enumeration date
06/25/2007
Last updated
05/03/2011
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