Individual
DEBORAH R LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1521 GULL RD STE 130, KALAMAZOO, MI 49048-1640
(269) 345-1161
Mailing address
1521 GULL RD STE 130, KALAMAZOO, MI 49048-1640
(269) 345-1161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704205273
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704205273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003822412
BCBSM - BMH
MI
05
—
1154639748
—
MI
Enumeration date
09/17/2010
Last updated
03/10/2026
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