Individual
ANNIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 542-8384
(575) 542-8387
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 542-2369
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017-0813
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/24/2014
Last updated
03/17/2018
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