Individual
ANTHONY KOU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5320 W MICHAELS DR, APPLETON, WI 54913-8446
(920) 585-4846
Mailing address
5320 WEST MICHAELS DRIVE, APPLETON, WI 54913-8400
(920) 585-4846
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2889-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032441
—
WI
Enumeration date
01/26/2012
Last updated
11/17/2023
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