Individual
BRETT TYSON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
(514) 416-7252
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 679-9734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6561542
UT
Other
Enumeration date
11/20/2021
Last updated
07/19/2023
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