Individual
MELISSA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 OAK ST STE B, KELSO, WA 98626-2304
(360) 353-5511
(360) 353-5502
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 261-7848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61123333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173987
—
WA
Enumeration date
11/08/2017
Last updated
07/27/2022
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